Individual
DR. BRENT DOUGLAS BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
66 SPRINGER DR STE 204, HIGHLANDS RANCH, CO 80129-2307
(303) 791-0472
(303) 791-7565
Mailing address
66 SPRINGER DR STE 204, HIGHLANDS RANCH, CO 80129-2307
(303) 791-0472
(303) 791-7565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105740
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-42292
STATE TAX ID
CO
Enumeration date
04/06/2007
Last updated
07/08/2007
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