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1881789550
BRAD L OSWALD
IDAHO FALLS, ID
NPI
1881789550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3207)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- BRAD L OSWALD DDS
3456 E 17TH ST SUITE 115
IDAHO FALLS, ID 83406
Phone number: 208-522-1234
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Mailing Address
-- BRAD L OSWALD DDS
3456 E 17TH ST SUITE 115
IDAHO FALLS, ID 83406
Phone number: 208-522-1234
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