Kellogg-Paisley LLC

NPI #1740440205 in Brighton, Colorado

Provider Information

NPI Number: 1740440205
Entity Type: Organization
Organization Name: Kellogg-Paisley LLC
Primary Specialty: Dentist
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 4700 E BROMLEY LN
Address 2: SUITE 201
City: Brighton
State: Colorado
ZIP Code: 80601-7820
Phone: (303) 659-0667

Authorized Official

Name: DR. BRADLEY SCOTT KELLOGG, DDS
Title: DENTIST/MANAGER
Phone: (303) 659-0667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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