Individual
NICOLE DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
744 W LANCASTER AVE, DEVON SQUARE II, SUITE 115, WAYNE, PA 19087-2523
(610) 971-0717
Mailing address
744 W LANCASTER AVE, DEVON SQUARE II, SUITE 115, WAYNE, PA 19087-2523
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DS041127
PA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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