Individual
NICOLE FOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
19700 E PARKER SQUARE DR, SUITE A, PARKER, CO 80134-7301
(303) 841-2144
Mailing address
19700 E PARKER SQUARE DR, SUITE A, PARKER, CO 80134-7301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8956
CO
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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