Individual
MRS. NIKKI CARLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SENECA TRL, PANA, IL 62557-9719
(217) 820-3434
Mailing address
24 SENECA TRL, PANA, IL 62557-9719
(217) 820-3434
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.007412
IL
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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