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Individual

DR. NICHOLAS DAVID SHUMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
4033 BOARDWALK DR, SUITE 100, FORT COLLINS, CO 80525-5934
(970) 207-4061
(970) 207-0051
Mailing address
4033 BOARDWALK DR, SUITE 100, FORT COLLINS, CO 80525-5934
(970) 207-4061
(970) 207-0051

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8350
CO

Other

Enumeration date
01/21/2006
Last updated
04/30/2012
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