Individual
DR. NINA RICHARDSON BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5015 W 120TH AVE, BROOMFIELD, CO 80020-5606
(303) 466-2935
Mailing address
5015 W 120TH AVE, BROOMFIELD, CO 80020-5606
(303) 466-2935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049955
—
CO
05
—
04013264
—
CO
Enumeration date
07/10/2006
Last updated
07/08/2007
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