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Individual
DR. NICHOLE LEE DEMARS
Active
Individual
DR. NICHOLE LEE DEMARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-025986
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-3663111
ALL INSURANCE CARRIERS
IL
Enumeration date
12/20/2008
Last updated
01/28/2021
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