Individual
DR. BRADLEY A RANDOLPH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 N 3RD ST, STE 711, BURLINGTON, IA 52601-5308
(319) 753-1600
(319) 752-9453
Mailing address
320 N 3RD ST, STE 711, BURLINGTON, IA 52601-5308
(319) 753-1600
(319) 752-9453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07810
IA
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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