Individual
COLBY BRAD BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11555 MERIDIAN MARKET VW, FALCON, CO 80831-8241
(719) 749-9001
Mailing address
11555 MERIDIAN MARKET VW, FALCON, CO 80831-8241
(719) 749-9001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
390200000X
MO
Other
Enumeration date
03/20/2019
Last updated
11/18/2024
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