Individual
DR. LEANNE MALIA CASSELLA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2055 W 136TH AVE, SUITE 136, BROOMFIELD, CO 80023-9308
(303) 452-2800
Mailing address
2055 W 136TH AVE, SUITE 136, BROOMFIELD, CO 80023-9308
(303) 452-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202235
CO
Other
Enumeration date
04/11/2013
Last updated
02/03/2015
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