MRS. Samantha Anne Nicolello, RDH

NPI #1124736723 in Meridian, Idaho

Provider Information

NPI Number
1124736723
Entity Type
Individual
Name
MRS. Samantha Anne Nicolello, RDH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
RDH
Enumeration Date
Nov 11, 2022
Last Updated
Nov 11, 2022

Practice Location

Address
4044 N LEGACY WOODS AVE
State
Idaho
ZIP Code
83646-4480
Phone
(208) 871-0760

Specialties & Taxonomy Codes

Specialty
Dental Hygienist
Specialist

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