Individual
DR. BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
50 S SAN MATEO DR STE 160, SAN MATEO, CA 94401-3859
(305) 778-0827
(650) 375-8130
Mailing address
50 SO SAN MATEO DR #160, SAN MATEO, CA 94401
(305) 778-0827
(650) 375-8130
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64085
CA
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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