Organization
NICOLE H. BUELL, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE HELENA BUELL D.D.S. (OWNER)
(530) 544-1050
Entity
Organization
Contact information
Practice address
3461 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-8967
(530) 544-1050
Mailing address
3461 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-8967
(530) 544-1050
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
53970
CA
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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