Individual
AMBER R NICOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
PO BOX 2842, VANCOUVER, WA 98668-2842
(360) 771-7117
Mailing address
PO BOX 2842, VANCOUVER, WA 98668-2842
(360) 771-7117
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D161118851
WA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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