Individual
DR. NICOLE ALEA SARMIENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1601 WALNUT ST STE 720, PHILADELPHIA, PA 19102-2904
(215) 981-0380
Mailing address
1601 WALNUT ST STE 720, PHILADELPHIA, PA 19102-2904
(215) 981-0380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103978
DENTAL LICENSE NUMBER
CA
Enumeration date
07/10/2019
Last updated
11/09/2020
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