Bradley Shane Barlow, DDS Valid NPI
Individual provider · Pediatric Dentistry · Post Falls, ID
- NPI
- 1346268208
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- D-3781 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-18
- Last updated
- 2012-08-28
Practice location
602 N Calgary Ct, Suite 201
Post Falls, ID 83854-4000
(208) 777-9331