BRADLEY GEORGE PATCH

LOGAN, UT
NPI1871862664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  1441559922)
Enumeration Date2011-12-22
Last Update Date2011-12-22
Business Address
-- BRADLEY GEORGE PATCH D.D.S.
167 E 200 N # 4
LOGAN, UT 84321-4049
Phone number: 435-512-6566
Mailing Address
-- BRADLEY GEORGE PATCH D.D.S.
167 E 200 N # 4
LOGAN, UT 84321-4049
Phone number: 435-512-6566
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