Organization
KELLOGG-PAISLEY LLC
Active
Other names
Bromley Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY SCOTT KELLOGG DDS (DENTIST/MANAGER)
(303) 659-0667
Entity
Organization
Contact information
Practice address
4700 E BROMLEY LN, SUITE 201, BRIGHTON, CO 80601-7820
(303) 659-0667
(303) 659-5247
Mailing address
4700 E BROMLEY LN, SUITE 201, BRIGHTON, CO 80601-7820
(303) 659-0667
(303) 659-5247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8690
CO
1223G0001X
General Practice Dentistry
8744
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44234228
—
CO
Enumeration date
06/09/2008
Last updated
06/09/2008
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