Individual
MRS. MARTHA PINTO BRIDGEWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
121 S MADISON ST, SUITE C, DENVER, CO 80209-3031
(303) 320-3601
(303) 399-5598
Mailing address
121 S MADISON ST, SUITE C, DENVER, CO 80209-3031
(303) 320-3601
(303) 399-5598
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7150
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11878
PACIFICARE
CO
01
—
149580
CIGNA DHMO
CO
01
—
36267
UNITED DENTAL CARE
CO
01
—
5861329
AETNA
CO
01
—
972231
UNITED CONCORDIA
CO
Enumeration date
07/08/2006
Last updated
07/08/2007
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