DR. Leanne Malia Cassella Nichols, DDS
NPI #1740623578 in Broomfield, Colorado
Provider Information
- NPI Number
- 1740623578
- Entity Type
- Individual
- Name
- DR. Leanne Malia Cassella Nichols, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 11, 2013
- Last Updated
- Feb 3, 2015
Practice Location
- Address
- 2055 W 136TH AVE
- Address 2
- SUITE 136
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-9308
- Phone
- (303) 452-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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