Bradley Milde, D.M.D., D.H.SC. Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · San Luis Obispo, CA

NPI

1073702155

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

63014 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2007-10-15

Last updated

2013-10-10