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Individual

DENNIS A NICOLETTE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5 COURTYARD OFFICES, SUITE 350, SELINSGROVE, PA 17870-9374
(570) 743-1140
(570) 743-7252
Mailing address
5 COURTYARD OFFICES, SUITE 350, SELINSGROVE, PA 17870-9374
(570) 743-1140
(570) 743-7252

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS029523L
PA

Other

Enumeration date
01/17/2006
Last updated
07/08/2007
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