BRADLEY JAY MORLOCK

LEWISTON, ID
NPI1497853220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: ID  D2072PE)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
BRADLEY JAY MORLOCK D.D.S.
3323 4TH ST
LEWISTON, ID 83501-4423
Phone number: 208-743-1114
Mailing Address
BRADLEY JAY MORLOCK D.D.S.
3323 4TH ST
LEWISTON, ID 83501-4423
Phone number: 208-743-1114
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