Nicolas Roger Pruett
InactiveCalifornia license 43847
License
- Licensed by
- Dental Board of California
- License number
- 43847
- Status
- Inactive (CurrentInactive)
- First issued
- August 23, 1996
- Expires
- November 30, 2026
- License holder
- Nicolas Roger Pruett
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1930 South Nevada Avenue
Colorado Springs, CO 80905
Colorado Springs, CO 80905
El Paso County