Bradley Wayne Carpenter, DMD

NPI #1912271164 in Clacamas, Oregon

Provider Information

NPI Number: 1912271164
Entity Type: Individual
Name: Bradley Wayne Carpenter, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 6, 2012
Last Updated: Mar 6, 2012

Practice Location

Address: 15480 SE 82ND DR
City: Clacamas
State: Oregon
ZIP Code: 97015
Phone: (503) 655-7250

Specialties & Taxonomy Codes

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

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