Individual
BRADLEY W GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1745 SHEA CENTER DR FL 4, HIGHLANDS RANCH, CO 80129-1537
(720) 606-4220
Mailing address
1745 SHEA CENTER DR FL 4, HIGHLANDS RANCH, CO 80129-1537
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DEN.00202624
CO
Other
Enumeration date
06/03/2012
Last updated
08/04/2015
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