Individual
MRS. LYDIA ANN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4 BELL HILL RD., BEDFORD, NH 03110
(603) 472-8381
Mailing address
4 BELL HILL ROAD, BEDFORD, NH 03110
(603) 472-8381
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
01017
NH
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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