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Organization
BRADLEY J. MORLOCK, D.D.S.,P.C.
Active
Organization
BRADLEY J. MORLOCK, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JAY MORLOCK D.D.S. (PRESIDENT/DIRECTOR)
(208) 743-1114
Entity
Organization
Contact information
Practice address
3323 4TH ST, LEWISTON, ID 83501-4423
(208) 743-1114
(208) 743-0120
Mailing address
3323 4TH ST, LEWISTON, ID 83501-4423
(208) 743-1114
(208) 743-0120
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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