Individual
NICOLE S PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6120
(715) 833-6271
Mailing address
620 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001535
WI
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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