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Organization

BRADLEY FAMILY DENTAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMMANUEL IGWIKE DDS (OWNER)
(414) 371-2808
Entity
Organization

Contact information

Practice address
5600 W BROWN DEER RD, SUITE G5, BROWN DEER, WI 53223-2311
(414) 371-2506
(414) 371-2509
Mailing address
5600 W BROWN DEER RD, SUITE G5, BROWN DEER, WI 53223-2311
(414) 371-2506
(414) 371-2509

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5519-15
WI

Other

Enumeration date
08/30/2010
Last updated
08/30/2010
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