Nicole Joy Glines

NPI #1073779542 in Pine Ridge, South Dakota

Provider Information

NPI Number: 1073779542
Entity Type: Individual
Name: Nicole Joy Glines
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 4, 2008
Last Updated: Aug 4, 2008

Practice Location

Address: EAST HIGHWAY 18
City: Pine Ridge
State: South Dakota
ZIP Code: 57770
Phone: (605) 867-3078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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