NPI 1710096896

Bradley J. Morlock, D.D.S.,p.C.

Organisation Periodontics Lewiston, ID

Practice location

Address: 3323 4th St, Lewiston, ID 83501-4423
Phone: (208) 743-1114
Fax: (208) 743-0120

Authorised official

Name: Bradley Jay Morlock
Title: President/Director
Phone: (208) 743-1114

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X

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Registry record

NPI: 1710096896
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.