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Individual

DR. CHAD EVAN FRUITHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1245 E COLFAX AVE STE 301, DENVER, CO 80218-2216
(303) 832-8655
Mailing address
1250 CHEROKEE ST APT 520, DENVER, CO 80204-3701
(915) 731-6950

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00203185
CO

Other

Enumeration date
06/15/2017
Last updated
06/15/2017
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