Bruggeman Dental
Dentist, General Practice in Thornton, CO. Organization (NPI-2).
NPI number1346667037
StatusActive
Last updated in NPPESMar 19, 2014
Details
- NPI
- 1346667037
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruggeman Dental
- Organization subpart
- No
- Enumeration date
- Mar 19, 2014
- Last updated
- Mar 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9574 | CO | Yes |
Practice location
2601 E 145th CtThornton, CO 80602-7339
Phone 303-548-5595
Mailing address
2601 E 145th CtThornton, CO 80602-7339
Authorized official
Scott Bruggeman
President
3035485595
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