Individual
BRADLEY SEAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2333 N 6TH ST, MEDICAL EDUCATION, GRAND JUNCTION, CO 81501-2001
(970) 298-7821
(970) 298-1726
Mailing address
2333 N 6TH ST, MEDICAL EDUCATION, GRAND JUNCTION, CO 81501-2001
(970) 298-7821
(970) 298-1726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68003340
—
CO
Enumeration date
06/18/2010
Last updated
05/11/2020
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