NPI | 1023412921 |
---|---|
Professional Name | BRADLEY KUPER-SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 64085) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2014-10-21 |