BRADLEY PATCH, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1871862664
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 1441559922 (UT) |
Frequently Asked Questions
NPI 1871862664 is the National Provider Identifier for BRADLEY PATCH, D.D.S., a Dentist - General Practice provider located in Logan, UT. This NPI was enumerated on December 22, 2011.
BRADLEY PATCH, D.D.S. practices at 167 E 200 N, # 4, Logan, UT 84321.
Quick Facts
- NPI
- 1871862664
- Type
- Individual
- Enumerated
- Dec 22, 2011
- Last Updated
- Dec 22, 2011
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