Organization
GUNNISON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY BICHON DDS (OWNER/DENTIST)
(970) 641-3406
Entity
Organization
Contact information
Practice address
204 N 12TH ST, GUNNISON, CO 81230-3004
(970) 641-3406
(970) 641-3408
Mailing address
204 N 12TH ST, GUNNISON, CO 81230-3004
(970) 641-3406
(970) 641-3408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-10677
CO
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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