Nicole East

NPI #1104312263 in Grand Ledge, Michigan

Provider Information

NPI Number: 1104312263
Entity Type: Individual
Name: Nicole East
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 2, 2018
Last Updated: May 19, 2022

Practice Location

Address: 312 TAYLOR ST
City: Grand Ledge
State: Michigan
ZIP Code: 48837-1569
Phone: (517) 627-2061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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