Individual
DR. MARK S BRADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5647 ELEVATOR RD, ROSCOE, IL 61073-8879
(815) 623-2300
(815) 623-6707
Mailing address
5647 ELEVATOR RD, ROSCOE, IL 61073-8879
(815) 623-2300
(815) 623-6707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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