Individual
ANDREW LIONEL FISCUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 PENROSE PL, SUITE 202, BOULDER, CO 80301-1809
(303) 442-5748
(303) 442-5749
Mailing address
3400 PENROSE PL, SUITE 202, BOULDER, CO 80301-1809
(303) 442-5748
(303) 442-5749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8195
CO
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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