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Individual

DR. BRADLY JAMES MOURITSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3467 PINE RIDGE RD STE 101, NAPLES, FL 34109-3832
(239) 251-5045
Mailing address
3467 PINE RIDGE RD STE 101, NAPLES, FL 34109-3832
(239) 251-5045

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10341065-9922
UT
122300000X
Dentist
D1172
SD
122300000X
Dentist
Primary
DN25384
FL

Other

Enumeration date
05/02/2017
Last updated
10/05/2024
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