Individual
NICOLE RENEE MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
(660) 826-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008015945
MO
Other
Enumeration date
07/23/2008
Last updated
02/23/2012
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