Individual
DR. BRADLEY PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
205 E 2ND ST, DEFIANCE, OH 43512-2248
(419) 783-6993
(419) 783-6992
Mailing address
205 E 2ND ST, DEFIANCE, OH 43512-2248
(419) 783-6993
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-022474
OH
Other
Enumeration date
12/21/2006
Last updated
04/30/2014
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