Bradley George Patch, D.D.S.

NPI #1871862664 in Logan, Utah

Provider Information

NPI Number: 1871862664
Entity Type: Individual
Name: Bradley George Patch, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 22, 2011
Last Updated: Dec 22, 2011

Practice Location

Address: 167 E 200 N
Address 2: # 4
City: Logan
State: Utah
ZIP Code: 84321-4049
Phone: (435) 512-6566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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