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1568580074
BRADLEY ROBERTSON
BOISE, ID
NPI
1568580074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3022)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Dr. BRADLEY ROBERTSON D.D.S
1212 N COLE RD
BOISE, ID 83704-8646
Phone number: 208-322-1747
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Mailing Address
Dr. BRADLEY ROBERTSON D.D.S
2957 W COLONY CT
EAGLE, ID 83616-7201
Phone number: 208-938-3520
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