Individual
DR. BRADLEY SCOTT BURTWISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
325 2ND ST STE A, MONUMENT, CO 80132-7935
(719) 481-4949
(719) 481-4989
Mailing address
325 2ND ST STE A, PO BOX 492, MONUMENT, CO 80132-7935
(719) 481-4949
(719) 481-4989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202045
CO
Other
Enumeration date
07/22/2013
Last updated
06/06/2014
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