Individual
BRADLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 WILBURN RD, SUITE 212, SUN PRAIRIE, WI 53590-1478
(608) 837-7842
Mailing address
100 WILBURN RD, SUITE 212, SUN PRAIRIE, WI 53590-1478
(608) 837-7842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001799
WI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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