Individual
NIKKI LEE HARTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 PINEY FOREST RD, DANVILLE, VA 24540-2876
(330) 243-1622
Mailing address
315 LYNN ST APT 203, DANVILLE, VA 24541-1478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416070
VA
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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