DR. Bradley W Mitchell, DMD

NPI #1720236128 in Waterloo, Illinois

Provider Information

NPI Number
1720236128
Entity Type
Individual
Name
DR. Bradley W Mitchell, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Aug 28, 2008
Last Updated
Aug 28, 2008

Practice Location

Address
413 W 3RD ST
ZIP Code
62298-1358
Phone
(618) 939-6128

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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