Individual
DR. NICHOLE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601-2228
(415) 621-8056
Mailing address
11670 ATWOOD RD, AUBURN, CA 95603-9522
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
63781
CA
Other
Enumeration date
06/21/2013
Last updated
11/19/2014
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