Individual
NICHOLE LILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8020 NORTHLAKE CREEK DR STE B, CHARLOTTE, NC 28216-4487
(305) 335-1277
Mailing address
10625 EDDINGS DR APT 103, CHARLOTTE, NC 28270-1195
(305) 335-1277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13607
NC
122300000X
Dentist
26190
FL
Other
Enumeration date
07/08/2021
Last updated
03/19/2024
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