Bradley P Laconi Dds Pc | |
11 Skyview Dr Chesterfield IN 46017-1057 | |
(765) 378-0271 | |
(765) 378-4364 |
Full Name | Bradley P Laconi Dds Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 11 Skyview Dr, Chesterfield, Indiana |
Authorized Official Name and Position | Bradley P Laconi (OWNER) |
Authorized Official Contact | 7653780271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bradley P Laconi Dds Pc 11 Skyview Dr Chesterfield IN 46017-1057 Ph: (765) 378-0271 | Bradley P Laconi Dds Pc 11 Skyview Dr Chesterfield IN 46017-1057 Ph: (765) 378-0271 |
NPI Number | 1285020560 |
---|---|
Provider Enumeration Date | 04/13/2015 |
Last Update Date | 04/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285020560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 12008802A (Indiana) | Primary |