Individual
COLLEEN NOTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3007 WILLIAMS DR, GEORGETOWN, TX 78628-2778
(512) 869-2563
(512) 863-9372
Mailing address
3007 WILLIAMS DR, GEORGETOWN, TX 78628-2778
(512) 869-2563
(512) 863-9372
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21969
TX
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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