Individual
CANDACE NICCOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
6546 FLANDERS DR, NEWARK, CA 94560-1163
(510) 304-1284
Mailing address
6546 FLANDERS DR, NEWARK, CA 94560-1163
(510) 304-1284
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP340
CA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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