Individual
NICOLE L WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 WASHINGTON ST, ELMIRA, NY 14901-3220
(607) 737-2028
Mailing address
73 HENTON RD, BARTON, NY 13734-1715
(607) 239-1031
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6549836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6549836
LICENSE
—
Enumeration date
03/03/2011
Last updated
03/03/2011
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