Be-co-me Llc

NPI 1003111618 - Dentist - 1223G0001X

NPI Details
NPI 1003111618
Enumeration Date 01/13/2011
Last Updated 01/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRADLEY WILLIAM BRADLEY
Position OWNER
Phone (970) 834-2058
Fax
Practice Location
120 NORTH 2ND AVENUE
AULT CO, 80610, US
Phone (970) 834-2058
Fax
Business Location
PO BOX 1038
AULT CO, 80610-1038, US
Phone (970) 834-2058
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number DEN9157
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According to our database, Be-co-me Llc NPI is 1003111618, taxonomy code is 1223G0001X and license number is DEN9157, license state is located at Colorado. Be-co-me Llc physically located at 120 North 2nd Avenue, Ault CO, 80610. NPI Number 1033115704 has the healthcare provider type.

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1003111618 NPI number is provided on an as is basis without warranty of any kind. 1003111618 is maintained by the National Plan & Provider Enumeration System. The contents of Be-co-me Llc are for informational purposes only.