Individual
DR. NICHOLAS MICHAEL POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 N BROADWAY STE 1135, DENVER, CO 80203-3444
(303) 832-4867
Mailing address
700 N BROADWAY STE 1135, DENVER, CO 80203-3444
(303) 832-4867
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9795
CO
1223P0300X
Periodontics
DN013389
GA
Other
Enumeration date
04/12/2007
Last updated
02/22/2023
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