DR. Bradford David Matiasevich, D.D.S.
NPI #1720246473 in Freedom, California
Provider Information
- NPI Number
- 1720246473
- Entity Type
- Individual
- Name
- DR. Bradford David Matiasevich, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 29, 2008
- Last Updated
- May 29, 2008
Practice Location
- Address
- 256 GREEN VALLEY RD
- City
- Freedom
- State
- California
- ZIP Code
- 95019-3139
- Phone
- (831) 722-4666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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