Individual
NATHAN ANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
71 ERIE PKWY, SUITE 101, ERIE, CO 80516-2519
(303) 828-0883
Mailing address
3207 OPAL LN, SUPERIOR, CO 80027-4663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00202852
CO
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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