Individual
DR. BRIAN ANTHONY BUCCELLATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7730 N UNION BLVD, SUITE 101, COLORADO SPRINGS, CO 80920-4084
(719) 536-0599
(719) 522-0396
Mailing address
7730 N UNION BLVD, SUITE 101, COLORADO SPRINGS, CO 80920-4084
(719) 536-0599
(719) 522-0396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-10225
CO
Other
Enumeration date
11/23/2010
Last updated
10/02/2016
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