Individual
NICOLE PEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
(412) 486-5155
Mailing address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
(412) 486-5155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO42673
PA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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