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Individual

BRADFORD HENRY KORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4656 W JEFFERSON BLVD, SUITE 220, FORT WAYNE, IN 46804-6857
(260) 432-3588
(260) 459-0729
Mailing address
4656 W JEFFERSON BLVD, SUITE 220, FORT WAYNE, IN 46804-6857
(260) 432-3588
(260) 459-0729

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007256
IN

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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