Individual
DR. GERGANA NASKOVA NIKOLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-0567
Mailing address
807 S RACINE AVE, CHICAGO, IL 60607-4123
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1001928
WI
Other
Enumeration date
08/28/2017
Last updated
03/04/2020
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