Individual
BRADLEY S IGNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 N WAYNE ST, ANGOLA, IN 46703-1548
(260) 665-7517
Mailing address
224 N WAYNE ST, ANGOLA, IN 46703-1548
(260) 665-7517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008910
IN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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