Individual
NICOLE SKALINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
469 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3737
(860) 644-2136
Mailing address
469 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3737
(860) 644-2136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056664
NY
1223G0001X
General Practice Dentistry
056664
NY
1223G0001X
General Practice Dentistry
Primary
12655
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2012
Last updated
03/04/2025
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