Organization
ORTHODONTIC ASSOCIATES OF GREELEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD NEWHALL EDGREN D.D.S., M.S. (ORTHODONTIST)
(970) 356-5900
Entity
Organization
Contact information
Practice address
3400 W 16TH ST, BLDG 4-V, GREELEY, CO 80634-6862
(970) 356-5900
(970) 356-2418
Mailing address
3400 W 16TH ST, BLDG 4-V, GREELEY, CO 80634-6862
(970) 356-5900
(970) 356-2418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6883
CO
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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