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Individual

DR. BRADLEY DAVID LEVALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
730 WHALERS WAY, SUITE 300, FORT COLLINS, CO 80525-7585
(970) 229-1404
(970) 229-1422
Mailing address
3744 S TIMBERLINE RD, SUITE 101, FORT COLLINS, CO 80525-4333
(970) 229-1404

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7382
CO

Other

Enumeration date
03/28/2007
Last updated
08/08/2007
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