Bradley Konecnik, Dmd, Pllc | |
2195 W Magee Rd Ste 120 Tucson AZ 85742-4313 | |
(520) 441-2505 | |
(520) 441-4505 |
Full Name | Bradley Konecnik, Dmd, Pllc |
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Speciality | Dentist - General Practice |
Location | 2195 W Magee Rd Ste 120, Tucson, Arizona |
Authorized Official Name and Position | Bradley Konecnik (PRINCIPAL MEMBER) |
Authorized Official Contact | 5204658446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bradley Konecnik, Dmd, Pllc 1041 E Rudasill Rd Tucson AZ 85718-2913 Ph: (520) 465-8446 | Bradley Konecnik, Dmd, Pllc 2195 W Magee Rd Ste 120 Tucson AZ 85742-4313 Ph: (520) 441-2505 |
NPI Number | 1356053128 |
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Provider Enumeration Date | 12/23/2022 |
Last Update Date | 05/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356053128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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