Individual
DR. BRADLEY SCOTT MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8540 S SEPULVEDA BLVD, #808, LOS ANGELES, CA 90045-3807
(310) 670-0659
(310) 670-6880
Mailing address
2050 S BENTLEY AVE, #303, LOS ANGELES, CA 90025-5661
(310) 914-4904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48510
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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