DR. BRADLEY WILTBANK, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1245438324
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | DE00011246 (WA) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 0401414248 (VA) |
| Dentist | 122300000X | No | 0401414248 (VA) |
Frequently Asked Questions
NPI 1245438324 is the National Provider Identifier for DR. BRADLEY WILTBANK, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Mc Lean, VA. This NPI was enumerated on July 10, 2007.
DR. BRADLEY WILTBANK, DMD practices at 1313 DOLLEY MADISON BLVD, SUITE #209, Mc Lean, VA 22101.
Quick Facts
- NPI
- 1245438324
- Type
- Individual
- Enumerated
- Jul 10, 2007
- Last Updated
- Dec 30, 2021
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