Individual
NICOLE FELICE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
BLDG#678 MCCORNACK ROAD, NA KOA DENTAL CLINIC, SCHOFIELD BARRACKS, HI 96857
(808) 433-9812
Mailing address
4045 IRONWOOD LOOP, HONOLULU, HI 96818-4136
(302) 363-2512
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9270194-9920
UT
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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