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Individual

NICOLE MAJOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2344 N MERRIT CRK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Mailing address
2344 N MERRIT CRK LOOP, COEUR D ALENE, ID 83814-4950

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10936825-9922
UT
122300000X
Dentist
Primary
D-4751
ID

Other

Enumeration date
04/21/2015
Last updated
01/03/2019
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