Individual
DR. BRAD THOMAS HANEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DD
Contact information
Practice address
402 2ND ST., PAONIA, CO 81428-0308
(970) 527-4853
(970) 527-4855
Mailing address
P. O. BOX 308, 402 2ND ST., PAONIA, CO 81428-0308
(970) 527-4853
(970) 527-4855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104426
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104426
LICENSE
CO
Enumeration date
07/31/2006
Last updated
07/08/2007
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