| Bradley J. Morlock, D.d.s.,p.c. | |
|
3323 4th St Lewiston ID 83501-4423 | |
| (208) 743-1114 | |
| (208) 743-0120 |
| Full Name | Bradley J. Morlock, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3323 4th St, Lewiston, Idaho |
| Authorized Official Name and Position | Bradley Jay Morlock (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 2087431114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley J. Morlock, D.d.s.,p.c. 3323 4th St Lewiston ID 83501-4423 Ph: (208) 743-1114 | Bradley J. Morlock, D.d.s.,p.c. 3323 4th St Lewiston ID 83501-4423 Ph: (208) 743-1114 |
| NPI Number | 1710096896 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710096896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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