Individual
DR. BRADLEY MILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., D.H.SC.
Contact information
Practice address
1223 HIGUERA ST, SUITE #201, SAN LUIS OBISPO, CA 93401-3145
(805) 541-3411
Mailing address
1223 HIGUERA ST, SUITE #201, SAN LUIS OBISPO, CA 93401-3145
(805) 541-3411
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63014
CA
Other
Enumeration date
10/15/2007
Last updated
10/10/2013
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