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Individual

DR. VICTOR P BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2828 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3127
(719) 475-0783
(719) 475-7478
Mailing address
340 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 228-6635
(719) 228-6612

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8234
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29930812
CO
Enumeration date
03/19/2007
Last updated
07/08/2007
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