Individual
NICOLE L BURLINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W JACKSON ST FL 3, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8937
Mailing address
111 W JACKSON ST FL 3, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8937
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1004065-16
WI
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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