Individual
NICOLE OLDENBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MAPLE ST APT A, LISBON FALLS, ME 04252-1813
(207) 794-5903
Mailing address
7 MAPLE ST APT A, LISBON FALLS, ME 04252-1813
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3786
ME
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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