Individual
BRADLEY SALVATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6438 RITA AVE, HUNTINGTON PARK, CA 90255-4187
(310) 591-7439
Mailing address
6438 RITA AVE, HUNTINGTON PARK, CA 90255-4187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109158
CA
Other
Enumeration date
07/11/2022
Last updated
05/07/2025
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