MEDICARE: DR. G. MICHAEL BRADBURY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	24750	CA

General Provider Information

NPI Number	:	1437397981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. G. MICHAEL BRADBURY DDS

Provider Business Mailing Address
First Line	:	31525 LARGA VIS
Second Line	:
City	:	VALLEY CENTER
State	:	CA
Zip	:	92082-5037
Country	:	US
Telephone Number	:	760-751-1155
Fax Number	:

Provider Business Practice Location Address
First Line	:	31525 LARGA VIS
Second Line	:
City	:	VALLEY CENTER
State	:	CA
Zip	:	92082-5037
Country	:	US
Telephone Number	:	760-751-1155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	01/21/2009

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