| Nicole H. Buell, D.d.s. Inc. | |
|
3461 Lake Tahoe Blvd South Lake Tahoe CA 96150-8967 | |
| (530) 544-1050 | |
| Not Available |
| Full Name | Nicole H. Buell, D.d.s. Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3461 Lake Tahoe Blvd, South Lake Tahoe, California |
| Authorized Official Name and Position | Nicole Helena Buell (OWNER) |
| Authorized Official Contact | 5305441050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole H. Buell, D.d.s. Inc. 3461 Lake Tahoe Blvd South Lake Tahoe CA 96150-8967 Ph: (530) 544-1050 | Nicole H. Buell, D.d.s. Inc. 3461 Lake Tahoe Blvd South Lake Tahoe CA 96150-8967 Ph: (530) 544-1050 |
| NPI Number | 1578996385 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578996385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 53970 (California) | Primary |
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