Individual
NICOLE E CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
222 W CUNNINGHAM ST STE 204, BUTLER, PA 16001-5791
(724) 256-5890
(724) 256-5893
Mailing address
222 W CUNNINGHAM ST STE 204, BUTLER, PA 16001-5791
(724) 256-5890
(724) 256-5893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS036332
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS036332
PA
Other
Enumeration date
08/28/2008
Last updated
11/05/2018
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