NICOLE W KENT DDS
Dentist


Address: 5022 4th St, Boulder, CO 80304-4755

NICOLE W KENT DDS (Credential# 703887) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2014. The license expiration date date is May 31, 2015. The license status is INACTIVE.

Business Overview

NICOLE W KENT DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009435. The credential type is dentist. The effective date is June 1, 2014. The expiration date is May 31, 2015. The business address is 5022 4th St, Boulder, CO 80304-4755. The current status is inactive.

Basic Information

Licensee Name NICOLE W KENT DDS
Credential ID 703887
Credential Number 2.009435
Credential Type Dentist
Business Address 5022 4th St
Boulder
CO 80304-4755
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-05-02
Effective Date 2014-06-01
Expiration Date 2015-05-31
Refresh Date 2019-04-26

Other licenses

ID Credential Code Credential Type Issue Term Status
405349 CSP.0037502 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-05-19 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 5022 4TH ST
City BOULDER
State CO
Zip Code 80304-4755

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Competitor

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City BOULDER
Zip Code 80304
License Type Dentist
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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