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1013359876
BRADLEY SCOTT BURTWISTLE
MONUMENT, CO
NPI
1013359876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 00202045)
Enumeration Date
2013-07-22
Last Update Date
2014-06-06
Business Address
Dr. BRADLEY SCOTT BURTWISTLE D.D.S.
325 2ND ST STE A
MONUMENT, CO 80132-7935
Phone number: 719-481-4949
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Mailing Address
Dr. BRADLEY SCOTT BURTWISTLE D.D.S.
325 2ND ST STE A PO BOX 492
MONUMENT, CO 80132-7935
Phone number: 719-481-4949
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