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1720291560
BURDETT RUSSELL EDGREN
GREELEY, CO
NPI
1720291560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CO 161)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Dr. BURDETT RUSSELL EDGREN DDS, MS
3400 W 16TH ST BLDG 4-V
GREELEY, CO 80634-6862
Phone number: 970-356-5900
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Mailing Address
Dr. BURDETT RUSSELL EDGREN DDS, MS
3400 W 16TH ST BLDG 4-V
GREELEY, CO 80634-6862
Phone number: 970-356-5900
Copy
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