BRADLEY ROBERTSON

BOISE, ID
NPI1568580074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3022)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. BRADLEY ROBERTSON D.D.S
1212 N COLE RD
BOISE, ID 83704-8646
Phone number: 208-322-1747
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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