Individual
BRADLEY PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3506 LOCHWOOD DR STE A, FORT COLLINS, CO 80525-2995
(970) 377-2557
Mailing address
5917 CROSS CREEK DR, FORT COLLINS, CO 80528-3152
(507) 269-6620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202833
CO
Other
Enumeration date
03/16/2015
Last updated
08/19/2020
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