Individual
BRADLEY J KIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
23838 VALENCIA BLVD STE 180, VALENCIA, CA 91355-5333
(661) 288-2088
Mailing address
23838 VALENCIA BLVD STE 180, VALENCIA, CA 91355-5333
(661) 288-2088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DY033604
CA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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