Individual
DR. CORY HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10350 FEDERAL BLVD UNIT 300, FEDERAL HEIGHTS, CO 80260-8616
(303) 427-2722
Mailing address
10350 FEDERAL BLVD UNIT 300, FEDERAL HEIGHTS, CO 80260-8616
(303) 427-2722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9964
CO
1223G0001X
General Practice Dentistry
57146
CA
Other
Enumeration date
06/30/2008
Last updated
08/07/2013
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