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1225410590
MARK BRADLE
LANCASTER, PA
NPI
1225410590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS040480)
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
-- MARK BRADLE DMD
625 S DUKE ST
LANCASTER, PA 17602-4509
Phone number: 717-299-6371
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Mailing Address
-- MARK BRADLE DMD
9306 VANGUARD CT
OWINGS MILLS, MD 21117-8291
Phone number: 912-414-2740
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