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Individual

DR. WALTER BRUCE NORDSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2100 S LINCOLN ST, DENVER, CO 80210-4462
(303) 733-1900
Mailing address
5555 S WASHINGTON ST, LITTLETON, CO 80121-8044
(303) 761-5431

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5921
CO

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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