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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY FULTON KENDZIOR, D.D.S., M.S.

Active Sole Proprietor

DR. BRADLEY FULTON KENDZIOR, D.D.S., M.S. is a Orthodontics healthcare provider located in RENO, Pennsylvania. NPI 1174745046 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · RENO, PA

Registration Details

NPI Number
1174745046
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2007 (19.245551095125 yrs)
Last Updated
Jul 8, 2007
License
DS030660L (PA)
Sole Proprietor
Yes

Practice Information

Address
2119 ALLEGHENY BLVD.
RENO, PA, 163430428
Browse PA providers · Browse ZIP 16343
Phone
8146765690
Fax
8146774120
Primary Specialty
Orthodontics
1223X0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.