Individual
DR. BRADLEY G SIMISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M,S.D.
Contact information
Practice address
1054 E RIVERSIDE DR STE 101, ST GEORGE, UT 84790-4740
(435) 656-3346
(435) 656-9058
Mailing address
1054 E RIVERSIDE DR STE 101, ST GEORGE, UT 84790-4740
(435) 656-3346
(435) 656-9058
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6221248
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-128C
NV
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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