Individual
DR. NICOLE MARIE GALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
140 N CITY STATION DR, SUN PRAIRIE, WI 53590-4642
(414) 628-5110
Mailing address
140 N CITY STATION DR, SUN PRAIRIE, WI 53590-4642
(414) 628-5110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6925-15
WI
Other
Enumeration date
05/14/2012
Last updated
12/17/2014
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