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Individual

DR. BRADLEY PHARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(269) 929-3767
Mailing address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(269) 929-3767

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7597
LA

Other

Enumeration date
08/28/2016
Last updated
03/28/2026
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