| Nickel Street Dental Pc | |
|
300 Nickel St Ste 10,11 Broomfield CO 80020-2013 | |
| (719) 241-3140 | |
| Not Available |
| Full Name | Nickel Street Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 300 Nickel St, Broomfield, Colorado |
| Authorized Official Name and Position | Taci Cooper (OFFICE MANAGER) |
| Authorized Official Contact | 7192413140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nickel Street Dental Pc 300 Nickel St Ste 10,11 Broomfield CO 80020-2013 Ph: () - | Nickel Street Dental Pc 300 Nickel St Ste 10,11 Broomfield CO 80020-2013 Ph: (719) 241-3140 |
| NPI Number | 1932559721 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932559721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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