Individual
DR. BRADLEY J RACHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1411 W 15TH ST, STE 301, LIBERAL, KS 67901-2288
(620) 624-1933
Mailing address
1411 W 15TH ST, STE 301, LIBERAL, KS 67901-2288
(620) 624-1933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60996
KS
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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