Individual
JACQUELINE NICOLE NICOLE DI NARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7535 VALLEY AVE, PHILADELPHIA, PA 19128-3130
(215) 510-1540
(646) 834-0887
Mailing address
7535 VALLEY AVE, PHILADELPHIA, PA 19128-3130
(215) 510-1540
(646) 834-0887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH013269L
PA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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