Individual
BRADLEY ALEXANDER DECKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2302 N REYNOLDS RD, BRYANT, AR 72022-2536
(501) 481-4763
Mailing address
2302 N REYNOLDS RD, BRYANT, AR 72022-2536
(501) 481-4763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4619
AR
Other
Enumeration date
06/29/2022
Last updated
08/29/2024
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