institution
Nicole M Jane, Dds, Ms, Pc
Dental Clinic/Center in South Lake Tahoe, California
NPI 1073840039

Nicole M Jane, Dds, Ms, Pc is a Dental Clinic/Center based in South Lake Tahoe, CA and is specialized in Dental. Nicole M Jane, Dds, Ms, Pc practices in South Lake Tahoe, CA. The NPI Number for Nicole M Jane, Dds, Ms, Pc is 1073840039 and holds a License No. 53320 (California).

The current practice location address for Nicole M Jane, Dds, Ms, Pc is 965 Tahoe Keys Blvd, South Lake Tahoe, CA and can be reached out via phone at 530-541-6585.

Location: 965 Tahoe Keys Blvd, South Lake Tahoe, CA, 96150-7161
institution
Provider Profile Details
NPI Number
1073840039
Provider Name
Nicole M Jane, Dds, Ms, Pc
Credential
Provider Entity Type
Organization
Address
965 Tahoe Keys Blvd, South Lake Tahoe, CA, 96150-7161
Phone Number
530-541-6585
Fax Number
Provider Enumeration Date
11/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
965 Tahoe Keys Blvd
City
State
Zip
96150-7161
Phone Number
530-541-6585
Fax Number
person
Provider Business Mailing Address Details
Address
965 Tahoe Keys Blvd
City
State
Zip
96150-7161
Phone Number
530-541-6585
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
53320 (California)
Definition
Definition to come...
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