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Individual

BRADLEY EUGENE GOINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
4733 S TIMBERLINE RD STE 101, FORT COLLINS, CO 80528-3023
(720) 234-5566
(303) 690-8003
Mailing address
19062 E WHITAKER PL, AURORA, CO 80015-4950
(303) 690-8003
(303) 690-8003

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8834
CO

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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