Individual
DR. NICOLE LYNN CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
909 N WASHINGTON ST, BOURBON, IN 46504-1447
(574) 342-4385
(574) 342-0461
Mailing address
909 N WASHINGTON ST, BOURBON, IN 46504-1447
(574) 342-4385
(574) 342-0461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010054
IN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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