Individual provider · Type 1 NPI

Bradley Milde, DMD, D.H.SC.

Orthodontics and Dentofacial Orthopedics Dentistry · San Luis Obispo, CA

NPI number 1073702155 Active

Practice location

1223 Higuera St, Suite #201
San Luis Obispo, CA 93401-3145

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	63014 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1073702155

Bradley Milde, DMD, D.H.SC.'s National Provider Identifier is 1073702155, issued on Oct 15, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 10, 2013.