| NPI | 1174099014 |
|---|---|
| Other Name | BRADBURN VILLAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ERIC ASHLEY WINTER Owner 303-466-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |