Cobain, Leif Bradly

Cobain, Leif Bradly is an individual health care provider with primary practice located at 5756 Pacific Ave Suite 75, Stockton CA 95207-5160. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Cobain, Leif Bradly can be contacted via phone (209) 472-1765.

Contact Information

Primary practice address
5756 Pacific Ave Suite 75 Stockton CA 95207-5160
Phone: (209) 472-1765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 51564 California

Profile Details

NPI number 1619066180
LBN Legal business name Cobain, Leif Bradly
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers