DR. Bradley J Rachow, D.D.S.

NPI #1831538404 in Liberal, Kansas

Provider Information

NPI Number: 1831538404
Entity Type: Individual
Name: DR. Bradley J Rachow, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 17, 2013
Last Updated: Jun 17, 2013

Practice Location

Address: 1411 W 15TH ST
Address 2: STE 301
City: Liberal
State: Kansas
ZIP Code: 67901-2288
Phone: (620) 624-1933

Specialties & Taxonomy Codes

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

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Organizations

Provider Name	Specialty	City
First Avenue Dental, P.a. Part of First Avenue Dental, P.a.	Dentist - General Practice	Liberal	AI Deep Dive

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