Individual provider · Type 1 NPI

Bradley Owen Kaiser, DMD

Student in an Organized Health Care Education/Training Program · Tucson, AZ

NPI number 1255627162 Active

Practice location

7490 S Camino De Oeste
Tucson, AZ 85746-9308

Mailing address

3840 E Placita Sumo
Tucson, AZ 85718-6043

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255627162

Bradley Owen Kaiser, DMD's National Provider Identifier is 1255627162, issued on Jun 20, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucson, AZ. The record was last updated on Jun 20, 2011.