Individual
BRADLEY SAMUEL ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4831 NICOLLET AVE S, MINNEAPOLIS, MN 55419
(612) 822-2324
(612) 822-6763
Mailing address
2630 QUEENSLAND LANE N, PLYMOUTH, MN 55477
(763) 475-2173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8320
MN
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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