Bradley Allen Irving in Moraga - Orthodontics And Dentofacial Orthopedics
Bradley Allen Irving - NPI 1275630121
Bradley Allen Irving is a Orthodontics And Dentofacial Orthopedics in Moraga, California. Bradley Allen Irving practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Bradley Allen Irving is 1275630121. The last update date is 2007-07-08.
Bradley Allen Irving's current location address is 75 Corte Yolanda, Moraga, California. You can contact this provider via phone number 9252836723 and fax number 5103391021. The mailing address for Bradley Allen Irving is 75 Corte Yolanda, Moraga, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley Allen Irving |
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Address | 75 Corte Yolanda, Moraga, California |
Phone Number | 9252836723 |
Fax Number | 5103391021 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1275630121 |
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Provider Enumeration Date | 2006-09-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 75 Corte Yolanda |
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City | Moraga |
State | California (CA) |
Post Code | 945561625 |
Phone Number | 9252836723 |
Fax Number | 5103391021 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 35620 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identification code assigned to Bradley Allen Irving by the Centers for Medicare & Medicaid Services?
The Bradley Allen Irving has been issued the NPI (National Provider Identifier) 1275630121, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradley Allen Irving?
The Bradley Allen Irving is physically situated at 75 Corte Yolanda, in the city of Moraga, state of CA, with the postal code 945561625.
What is Bradley Allen Irving's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bradley Allen Irving is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275630121 to Bradley Allen Irving?
The Bradley Allen Irving received its 1275630121 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the Bradley Allen Irving's details last updated?
The information pertaining to the Bradley Allen Irving, including its address, specialty, and other details, was most recently updated on 2007-07-08.