Individual
NICOLE HAYDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
39872 LOS ALAMOS RD STE A1, MURRIETA, CA 92562-5871
(951) 200-3339
Mailing address
364 W LINDEN DR, ORANGE, CA 92865-5000
(805) 390-9438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00204298
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
107346
CA
Other
Enumeration date
09/01/2020
Last updated
05/03/2022
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