Organization
KENDZIOR ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY FULTON KENDZIOR DDS, MS (ORTHODONTIST)
(814) 437-4377
Entity
Organization
Contact information
Practice address
2119 ALLEGHENY BOULEVARD, RENO, PA 16343
(814) 676-5690
Mailing address
PO BOX 428, RENO, PA 16343-0428
(814) 437-4377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
03/17/2018
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