Individual
DR. NICOLE NAHAKU NAKASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2355-B FACULTY DRIVE, 10 DS/SGD, USAF ACADEMY, CO 80840-1805
(719) 333-5192
Mailing address
2355-B FACULTY DRIVE 10DS/SGD, COLORADO SPRINGS, CO 80840-1805
(808) 234-8312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00201796
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00201796
DENTAL LICENSE
CO
Enumeration date
08/02/2013
Last updated
08/14/2013
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