Individual
NICOLE M BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13584 UNIVERSITY PLAZA ST, TAMPA, FL 33613-4628
(813) 971-8141
(813) 972-0978
Mailing address
3802 CARROLLWOOD PLACE CIR APT 208, TAMPA, FL 33624-3054
(802) 881-2447
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26887
FL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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