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Organization
BRADLEY J. SCHLUTER, D.D.S. INC.
Active
Organization
BRADLEY J. SCHLUTER, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J. SCHLUTER D.D.S. (OWNER)
(719) 275-2454
Entity
Organization
Contact information
Practice address
210 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-2454
Mailing address
210 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-2454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10268
CO
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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