Individual
MRS. NICOLE MICHELE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
955 COUNTRY CLUB RD STE C, GERING, NE 69341-1754
(308) 633-3368
(308) 633-3371
Mailing address
955 COUNTRY CLUB RD STE C, GERING, NE 69341-1754
(308) 633-3368
(308) 633-3371
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2070
NE
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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