Nicole Dawn Tennant

NPI #1174391577 in Morgantown, West Virginia

Provider Information

NPI Number: 1174391577
Entity Type: Individual
Name: Nicole Dawn Tennant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Dec 14, 2023
Last Updated: Dec 14, 2023

Practice Location

Address: 453 VAN VOORHIS RD
City: Morgantown
State: West Virginia
ZIP Code: 26505-3408
Phone: (304) 598-5108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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