Individual
DR. BRADLEY JEROME YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
129 W PLEASANT ST, MAQUOKETA, IA 52060-3046
(563) 652-3438
Mailing address
129 W PLEASANT ST, MAQUOKETA, IA 52060-3046
(563) 652-3438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08736
IA
Other
Enumeration date
07/01/2010
Last updated
01/11/2012
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