Individual
MRS. NICOLE MARIE PULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8890 WASHINGTON ST, THORNTON, CO 80229-4535
(720) 929-1655
Mailing address
1057 W CENTURY DR APT 212, LOUISVILLE, CO 80027-1640
(573) 380-6547
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002024644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002024644
DENTAL HYGIENE LICENSE NUMBER
CO
Enumeration date
09/12/2017
Last updated
03/22/2019
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