Individual
DR. AUDREY NIEMCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
61 ERIE PKWY UNIT 101, ERIE, CO 80516-2592
(303) 500-3202
Mailing address
2829 AKRON CT, DENVER, CO 80238-2689
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN.00205101
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2020
Last updated
08/01/2022
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