Individual
NICOLE LEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1101 TELLER COUNTY ROAD 1, CRIPPLE CREEK, CO 80813
(719) 689-3565
Mailing address
135 TAMARRON DR, COLORADO SPRINGS, CO 80919-2123
(719) 352-6633
(719) 352-6633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10245
CO
Other
Enumeration date
08/03/2010
Last updated
02/25/2013
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