Individual
DR. BRADLEY CHADWICK WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
916 S MAIN ST, SUITE 303, LONGMONT, CO 80501-6671
(303) 485-9123
(303) 485-9139
Mailing address
547 ADAMS AVE, LOUISVILLE, CO 80027-2241
(303) 938-1131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8778
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01700723
—
CO
Enumeration date
08/11/2006
Last updated
08/15/2007
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