Individual
DR. NICOLE FISCHER COSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
609 HULL ST APT A211, RICHMOND, VA 23224-4107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37057
TX
1223G0001X
General Practice Dentistry
Primary
0401418315
VA
Other
Enumeration date
03/22/2021
Last updated
06/16/2023
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