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Search › Utah › 1223G0001X

Bradley Patch, D.D.S

NPI 1871862664 · on the registry since 2011 · sole proprietor

Practice

Address
167 E 200 N
# 4
Logan, UT 84321
Phone
(435) 512-6566
Organisation at this address
Logan Pdc Pllc
A Olson Dds Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah