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1467640904
SCOTT NATHANIEL FREDERICK
COLORADO SPRINGS, CO
NPI
1467640904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO 10115)
Enumeration Date
2007-10-10
Last Update Date
2013-07-03
Business Address
Dr. SCOTT NATHANIEL FREDERICK DDS
3715 BLOOMINGTON ST. ST 160
COLORADO SPRINGS, CO 80922
Phone number: 719-599-0665
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Mailing Address
Dr. SCOTT NATHANIEL FREDERICK DDS
9296 STONEGLEN DR
COLORADO SPRINGS, CO 80920-3026
Phone number: 931-933-1095
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