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BRADLEY J BJORKLUND DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1215003033

Individual Registrant:
 BRADLEY J BJORKLUND DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
880 14TH ST  BARABOO, WI 53913-1540 US
Tel: 608-356-6611  Fax: --

Contact information for business:
880 14TH ST P.O. BOX 558 BARABOO, WI 53913-1540 US
Tel: 608-356-6611  Fax: --

Registration Information:
NPI: 1215003033
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
WI5883015

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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