Bradly Donabauer, DDS

NPI #1720179302 in Crookston, Minnesota

Provider Information

NPI Number: 1720179302
Entity Type: Individual
Name: Bradly Donabauer, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 310 S BROADWAY
City: Crookston
State: Minnesota
ZIP Code: 56716-1913
Phone: (218) 281-1301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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