Individual
NICOLE CANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0026
(570) 821-7231
Mailing address
93 BRIDGE PLAZA DR, MANALAPAN, NJ 07726-1700
(732) 561-1912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02959600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2022
Last updated
06/02/2023
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