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1114097912
BRADLEY CARLSON LOUIE
STOCKTON, CA
NPI
1114097912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 32739)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
Dr. BRADLEY CARLSON LOUIE D.D.S.
4255 PACIFIC AVE SUITE 1
STOCKTON, CA 95207-7638
Phone number: 209-478-5616
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Mailing Address
Dr. BRADLEY CARLSON LOUIE D.D.S.
4255 PACIFIC AVE SUITE 1
STOCKTON, CA 95207-7638
Phone number: 209-478-5616
Copy
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