Grant, Nicole Dominique
Grant, Nicole Dominique is an individual health care provider with primary practice located at 1461 Broadway St Apt A , Longview WA 98632-3724. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Grant, Nicole Dominique can be contacted via phone (855) 433-6825.Contact Information
Primary practice address
1461 Broadway St Apt A
Longview WA 98632-3724
Phone: (855) 433-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE60396563 | Washington |
Profile Details
| NPI number | 1497197941 |
|---|---|
| LBN Legal business name | Grant, Nicole Dominique |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2013 |
| Last updated | Aug 22nd, 2016 - about 10 years ago |
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.
Popular Providers
-
Doman, Jared
620 Triangle Shopping Ctr Ste 660 , Longview WA 98632-4690 -
Dodge, David Matthew
1461 Broadway Street Suite A, Longview WA 98632-3724 -
Marandas, Steven G
1452 Hudson St Suite #200, Longview WA 98632-3066 -
Kirkpatrick, Steven Bruce
1105 14Th Avenue , Longview WA 98632-3016 -
Bingham, Thomas Gilbert
900 Ocean Beach Hwy Ste 100 , Longview WA 98632-4171 -
Connors, Teresa Helen
911 11Th Ave Suite D, Longview WA 98632-2547 -
Hammon, Robert Lee
108 Inglewood Park , Longview WA 98632-5767 -
Miollis, Philip James
1430 16Th Ave , Longview WA 98632