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Bradley Mitchell, DMD
NPI 1720236128 · on the registry since 2008 · sole proprietor
Practice
- Address
- 413 W 3rd St
Waterloo, IL 62298 - Phone
- (618) 939-6128
- Fax
- (618) 939-6128
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois