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Organization
NICOLE E KUSKE DDS INC A PROFESSIONAL CORPORATION
Active
Organization
NICOLE E KUSKE DDS INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE ELIZABETH KUSKE DDS (PRESIDENT)
(562) 964-0877
Entity
Organization
Contact information
Practice address
28382 CALLE PINON, SAN JUAN CAPISTRANO, CA 92675-5802
(562) 964-0877
Mailing address
22922 LOS ALISOS BLVD, SUITE J, MISSION VIEJO, CA 92691-2856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57535
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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