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Organization
JACLYN BRADLE DDS INC.
Active
Organization
JACLYN BRADLE DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN BRADLE DDS (PRESIDENT)
(626) 290-7106
Entity
Organization
Contact information
Practice address
8639 1/2 BASELINE RD, RANCHO CUCAMONGA, CA 91730-1111
(626) 290-7106
Mailing address
113 N BURNABY DR, GLENDORA, CA 91741-3131
(626) 290-7106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61315
CA
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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