LEIF BRADLY COBAIN

STOCKTON, CA
NPI1619066180
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA  51564)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
LEIF BRADLY COBAIN DDS
5756 PACIFIC AVE SUITE 75
STOCKTON, CA 95207-5160
Phone number: 209-472-1765
Mailing Address
LEIF BRADLY COBAIN DDS
216 VALLEY CREEK LN APT F
DANVILLE, CA 94526-2535
Phone number: 925-831-0331