Individual
NICOLE M ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10 N LIVINGSTON STREET SUITE 301, MADISON, WI 53703
(608) 467-8022
(608) 222-5845
Mailing address
10 N LIVINGSTON STREET SUITE 301, MADISON, WI 53703
(608) 467-8022
(608) 222-5845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5045-015
WI
Other
Enumeration date
10/05/2006
Last updated
01/23/2014
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