Etcheverry, Nicole S

Etcheverry, Nicole S is an individual health care provider with primary practice located at 3200 S University Dr , Davie FL 33328-2018. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Etcheverry, Nicole S can be contacted via phone (954) 882-9209.

Contact Information

Primary practice address
3200 S University Dr Davie FL 33328-2018
Phone: (954) 882-9209
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN26266 Florida
Dental Providers / General Practice 1223G0001X 26266 Florida

Profile Details

NPI number 1215600374
LBN Legal business name Etcheverry, Nicole S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2021
Last updated Mar 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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