Individual
NICHOLE FISHBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
303 INDIAN LAKE DR, MAINEVILLE, OH 45039-6803
(832) 687-6611
Mailing address
303 INDIAN LAKE DR, MAINEVILLE, OH 45039-6803
(832) 687-6611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32421
TX
Other
Enumeration date
06/18/2017
Last updated
12/15/2022
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