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Individual

DR. BRADLEY J SCHLUTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
210 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-2454
(719) 275-3098
Mailing address
210 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-2454
(719) 275-3098

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10268
CO

Other

Enumeration date
09/24/2010
Last updated
09/24/2010
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