Individual
NICOLE DIDENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N 12TH ST # 222, RICHMOND, VA 23298-5064
(804) 828-0843
Mailing address
125 NETTLES LN, PERKASIE, PA 18944-2604
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0442000583
VA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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