Individual
DR. BRADLEY LYNN TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6019 N. EAGLE RD., BOISE, ID 83713
(208) 377-2777
(208) 377-3075
Mailing address
6019 N. EAGLE RD., BOISE, ID 83713
(208) 377-2777
(208) 377-3075
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
06580
IA
1223P0300X
Periodontics
5910
CO
Other
Enumeration date
08/28/2006
Last updated
09/27/2018
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