Individual
SUSAN M BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
340 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 687-4460
Mailing address
34 HYBROOK RD SOUTH, DIVIDE, CO 80814
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
43257
CA
124Q00000X
Dental Hygienist
905226
CO
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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