Radich, Brock
Radich, Brock is an individual health care provider with primary practice located at 7400 Fleur Dr Ste 200 , Des Moines IA 50321-3105. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Radich, Brock can be contacted via phone (515) 287-7773.Contact Information
Primary practice address
7400 Fleur Dr Ste 200
Des Moines IA 50321-3105
Phone: (515) 287-7773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS-09722 | Iowa |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS09722 | Iowa |
Profile Details
| NPI number | 1073937223 |
|---|---|
| LBN Legal business name | Radich, Brock |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2014 |
| Last updated | May 15th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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