Organization
BRADLEY P LACONI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY P LACONI DDS (OWNER)
(765) 378-0271
Entity
Organization
Contact information
Practice address
11 SKYVIEW DR, CHESTERFIELD, IN 46017-1057
(765) 378-0271
(765) 378-4364
Mailing address
11 SKYVIEW DR, CHESTERFIELD, IN 46017-1057
(765) 378-0271
(765) 378-4364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12008802A
IN
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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