Organization
DYNAMIC DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY K. DUNN D.M.D (PRESIDENT/OWNER)
(618) 283-4900
Entity
Organization
Contact information
Practice address
2102 W RANDOLPH ST, VANDALIA, IL 62471-1973
(618) 283-4900
(618) 283-4963
Mailing address
2102 W RANDOLPH ST, VANDALIA, IL 62471-1973
(618) 283-4900
(618) 283-4963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060003846
IL
Other
Enumeration date
11/21/2006
Last updated
12/14/2016
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