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Individual

BRAD STRONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
608 W B STREET, RAINIER, OR 97016
(503) 556-0002
Mailing address
1008 BROADWAY ST, LONGVIEW, WA 98632-3829
(360) 423-7020

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11010
OR
122300000X
Dentist
7730183-9922
UT
1223G0001X
General Practice Dentistry
9196
CO

Other

Enumeration date
02/09/2007
Last updated
03/05/2025
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