DOMINOE NICHOLE BANUELOS

DENVER, CO
NPI1255816807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  002025261)
Enumeration Date2018-09-29
Last Update Date2018-09-29
Business Address
DOMINOE NICHOLE BANUELOS DH
3705 E COLFAX AVE UNIT 101
DENVER, CO 80206-1810
Phone number: 303-399-3001
Mailing Address
DOMINOE NICHOLE BANUELOS DH
18159 E 44TH AVE
DENVER, CO 80249-7602
Phone number: 303-669-0624