Organization
BRIANNA NICHOLSON
Active
Other names
B. Nicholson DDS Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA JADE NICHOLSON DDS (OWNER)
(720) 278-3157
Entity
Organization
Contact information
Practice address
7373 W JEFFERSON AVE STE 203, LAKEWOOD, CO 80235-2020
(303) 217-5221
Mailing address
7373 W JEFFERSON AVE STE 203, LAKEWOOD, CO 80235-2020
(303) 217-5221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31574521
—
CO
Enumeration date
09/22/2022
Last updated
10/14/2022
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