Individual
DR. BRADLEY WILLIAM BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
211 LANDMARK DR, SUITE E-3, NORMAL, IL 61761-2160
(309) 454-7337
(309) 452-2711
Mailing address
13775 BENJAMIN CT, BLOOMINGTON, IL 61704-5143
(309) 827-5301
(309) 452-2711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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