Individual
DR. BRADLY KEITH HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
313 N SPOKANE ST, POST FALLS, ID 83854-9513
(208) 773-4579
Mailing address
4304 LAUREL AVE, COEUR D ALENE, ID 83815-8815
(208) 818-3733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4688
ID
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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