Individual
DR. BRADLEY C LA SORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
31 OAK ST, BINGHAMTON, NY 13905-4626
(607) 723-3088
(607) 723-3289
Mailing address
31 OAK ST, BINGHAMTON, NY 13905-4626
(607) 723-3088
(607) 723-3289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
039604-1
NY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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