Organization
BRADLEY J. SCHLUTER, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J. SCHLUTER D.D.S. (OWNER)
(719) 275-2454
Entity
Organization
Contact information
Practice address
210 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-2454
Mailing address
210 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-2454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10268
CO
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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