Individual
NICOLE LYNN BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH BSDH MSADT
Contact information
Practice address
2430 E HARMON AVE STE 1, LAS VEGAS, NV 89121-5338
(702) 796-0095
(702) 761-4551
Mailing address
10620 SOUTHERN HIGHLANDS PKWY # 110-361, LAS VEGAS, NV 89141-4371
(702) 205-6273
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT120
MN
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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