Individual
NICOLE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W 16TH ST STE E, GREELEY, CO 80634-6870
(970) 352-5448
Mailing address
681 CIMARRON TRL, AULT, CO 80610-8908
(970) 405-6325
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002025556
CO
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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