Nickel Street Dental PC
NPI #1932559721 in Broomfield, Colorado
Provider Information
- NPI Number
- 1932559721
- Entity Type
- Organization
- Organization Name
- Nickel Street Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 13, 2016
- Last Updated
- Jun 13, 2016
Practice Location
- Address
- 300 NICKEL ST
- Address 2
- STE 10,11
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-2013
- Phone
- (719) 241-3140
Authorized Official
- Name
- TACI COOPER
- Title
- OFFICE MANAGER
- Phone
- (719) 241-3140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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