Individual
DR. BRADLEY J FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
217 ADAMS ST, WINNER, SD 57580-1919
(605) 842-1793
Mailing address
31753 US HIGHWAY 18, WINNER, SD 57580-6422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
476
SD
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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