Organization
BRADLEY J KIRST DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J KIRST DDS (PRESIDENT)
(661) 288-2088
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD, SUITE 180, SANTA CLARITA, CA 91355
(661) 288-2088
(661) 288-2218
Mailing address
23838 VALENCIA BLVD, SUITE 180, SANTA CLARITA, CA 91355
(661) 288-2088
(661) 288-2218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33604
CA
Other
Enumeration date
02/16/2007
Last updated
07/14/2008
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