Individual
NICOLE RENEE NIEBUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
960 ROUTE 9 SOUTH, SOUTH AMBOY, NJ 08879-3310
(732) 727-3399
Mailing address
960 ROUTE 9 SOUTH, SOUTH AMBOY, NJ 08879-3310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02375900
NJ
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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