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1720181076
BRAD A TWADDLE
COLUMBIA, MO
NPI
1720181076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MO 015724)
Enumeration Date
2006-09-05
Last Update Date
2007-07-08
Business Address
Dr. BRAD A TWADDLE D.D.S.
1906 CORONA RD STE 200
COLUMBIA, MO 65203
Phone number: 573-234-2774
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Mailing Address
Dr. BRAD A TWADDLE D.D.S.
3705 HUNTER VALLEY DR
COLUMBIA, MO 65203
Phone number: 573-445-7482
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