Individual
NICOLE EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 TAYLOR ST, GRAND LEDGE, MI 48837-1569
(517) 627-2061
Mailing address
PO BOX 331, GRAND LEDGE, MI 48837-0331
(248) 404-7900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN4631
ME
1223G0001X
General Practice Dentistry
Primary
2901022680
MI
Other
Enumeration date
07/02/2018
Last updated
05/19/2022
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