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1710906987
BRADLEY C LA SORTE
BINGHAMTON, NY
NPI
1710906987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 039604-1)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. BRADLEY C LA SORTE D.D.S.
31 OAK ST
BINGHAMTON, NY 13905-4626
Phone number: 607-723-3088
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Mailing Address
Dr. BRADLEY C LA SORTE D.D.S.
31 OAK ST
BINGHAMTON, NY 13905-4626
Phone number: 607-723-3088
Copy
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