Bradley Scott Burtwistle, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Monument, CO

NPI

1013359876

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

00202045 (CO)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-07-22

Last updated

2014-06-06