Individual
DENNIS EDWARD BRADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NA
Contact information
Practice address
10201 MISSION GORGE RD, SANTEE, CA 92071-3027
(619) 383-6868
(619) 312-2661
Mailing address
10201 MISSION GORGE RD, SANTEE, CA 92071-3027
(619) 383-6868
(619) 312-2661
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/28/2022
Last updated
08/10/2022
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