Individual
DR. NICOLE MARIE JANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
33627 7 MILE RD, LIVONIA, MI 48152-3077
(248) 471-1555
(248) 471-4146
Mailing address
33627 7 MILE RD, LIVONIA, MI 48152-3077
(248) 471-1555
(248) 471-4146
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901017533
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
53320
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-144
NV
Other
Enumeration date
06/28/2006
Last updated
08/24/2011
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