Individual
MRS. WHITNEY RAY NICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
16830 NORTHGATE DR UNIT 110, PARKER, CO 80134-5778
(303) 766-8294
(303) 766-4294
Mailing address
6585 SURRY PL, PARKER, CO 80134-6333
(303) 204-6579
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH000904334
CO
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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