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Organization

BRADLEY J. MORLOCK, D.D.S.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY JAY MORLOCK D.D.S. (PRESIDENT/DIRECTOR)
(208) 743-1114
Entity
Organization

Contact information

Practice address
3323 4TH ST, LEWISTON, ID 83501-4423
(208) 743-1114
(208) 743-0120
Mailing address
3323 4TH ST, LEWISTON, ID 83501-4423
(208) 743-1114
(208) 743-0120

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
08/30/2006
Last updated
08/22/2020
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