Individual
DR. BRADLEY FULTON KENDZIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2119 ALLEGHENY BLVD., RENO, PA 16343-0428
(814) 676-5690
(814) 677-4120
Mailing address
2119 ALLEGHENY BLVD., P.O. BOX 428, RENO, PA 16343-0428
(814) 676-5690
(814) 677-4120
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS030660L
PA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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