Individual
MISS NICOLE ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1028 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707-0187
(803) 835-2500
Mailing address
2530 MARLOWE AVE, CHARLOTTE, NC 28208-5028
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
SC
Other
Enumeration date
10/22/2017
Last updated
10/22/2017
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