| NPI Details | |
|---|---|
| NPI | 1306008040 |
| Gender | Male |
| Enumeration Date | 06/25/2008 |
| Last Updated | 11/24/2015 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 2703 DELTA OAKS DR SUITE 300 EUGENE OR, 97408-1700, US |
|
| Phone | (541) 342-1503 |
| Fax | |
| Business Location | |
|---|---|
| 6950 NE CAMPUS WAY HILLSBORO OR, 97124-5611, US |
|
| Phone | (503) 952-2137 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | Indiana |
| License Number | 12011192A |
| Remove 1306008040 NPI Number | |
According to our database, Nicole Lina Sweet DDS NPI is 1306008040, taxonomy code is 1223G0001X and license number is 12011192A, license state is located at Indiana. Nicole Lina Sweet DDS physically located at 2703 Delta Oaks Dr, Eugene OR, 97408-1700. NPI Number Nicole Lina Sweet DDS has the Individual type.
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1306008040 NPI number is provided on an as is basis without warranty of any kind. 1306008040 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Lina Sweet DDS are for informational purposes only.
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