Individual
DR. NICOLETTE TAYLOR KOLLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
704 S. WEBSTER AVE #402, GREEN BAY, WI 54301
(920) 432-6894
Mailing address
704 S. WEBSTER AVE #402, GREEN BAY, WI 54301
(612) 508-7862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6001156-15
WI
1223G0001X
General Practice Dentistry
Primary
D14028
MN
Other
Enumeration date
06/01/2018
Last updated
07/17/2023
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