BRENT J. BRADLEY

RAPID CITY, SD
NPI1124088166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: SD  M864)
Enumeration Date2006-03-24
Last Update Date2007-08-28
Business Address
-- BRENT J. BRADLEY D.D.S
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702-2407
Phone number: 605-341-3068
Mailing Address
-- BRENT J. BRADLEY D.D.S
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702-2407
Phone number: 605-341-3068
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