Individual
DR. BRADLEY DANIEL HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
13919 AMSTUTZ RD, LEO, IN 46765-9605
(260) 627-5345
Mailing address
316 AUGUSTA WAY, FORT WAYNE, IN 46825-2170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010993A
IN
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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