BRADLEY CARLSON LOUIE

STOCKTON, CA
NPI1114097912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  32739)
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Dr. BRADLEY CARLSON LOUIE D.D.S.
4255 PACIFIC AVE SUITE 1
STOCKTON, CA 95207-7638
Phone number: 209-478-5616
Mailing Address
Dr. BRADLEY CARLSON LOUIE D.D.S.
4255 PACIFIC AVE SUITE 1
STOCKTON, CA 95207-7638
Phone number: 209-478-5616