| 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 |