DR. Bradley William Renehan, M.D.DDS
NPI #1255333720 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1255333720
- Entity Type
- Individual
- Name
- DR. Bradley William Renehan, M.D.DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- M.D.DDS
- Enumeration Date
- Aug 12, 2005
- Last Updated
- Mar 21, 2008
Practice Location
- Address
- 640 SOUTHPOINTE CT
- Address 2
- #150
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80906-3856
- Phone
- (719) 540-6350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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