Individual
DR. BRADFORD EUGENE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
889 MAIN CT, CARBONDALE, CO 81623-1851
(970) 963-1616
(970) 963-1638
Mailing address
889 MAIN CT, CARBONDALE, CO 81623-1851
(970) 963-1616
(970) 963-1638
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104337
CO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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