BRADLEY FULLER

GRESHAM, OR
NPI1073730784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7229)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
Dr. BRADLEY FULLER D.D.S.
2458 SE BURNSIDE RD
GRESHAM, OR 97080-1247
Phone number: 503-666-8045
Mailing Address
Dr. BRADLEY FULLER D.D.S.
2458 SE BURNSIDE RD
GRESHAM, OR 97080-1247
Phone number: 503-666-8045
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