Bradley Jay Morlock, D.D.S.

NPI #1497853220 in Lewiston, Idaho

Provider Information

NPI Number
1497853220
Entity Type
Individual
Name
Bradley Jay Morlock, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
D.D.S.
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3323 4TH ST
State
Idaho
ZIP Code
83501-4423
Phone
(208) 743-1114

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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