Individual
MRS. GLORIA JEAN NOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MCLD
Contact information
Practice address
5740 WINDMILL WAY, SUITE 16, CARMICHAEL, CA 95608-1379
(916) 331-0842
(916) 482-4287
Mailing address
5740 WINDMILL WAY, SUITE 16, CARMICHAEL, CA 95608-1379
(916) 331-0842
(916) 482-4287
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25013
CA
Other
Enumeration date
11/22/2006
Last updated
06/17/2011
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