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Provider Information for 1588805535

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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. NICOLE ELIZABETH KUSKE DDS

Gender: FEMALE

Individual NPI: 1588805535

Calendar   Last Updated:  2009-03-20
  Certification Date: 

Details

Name Value
NPI 1588805535
Enumeration Date 2009-03-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 18341 PAMMY LN
HUNTINGTON BEACH, CA 92648-1433
United States

Phone: 562-964-0877 | Fax:
View Map External Link
Primary Practice Address 18341 PAMMY LN
HUNTINGTON BEACH, CA 92648-1433
United States

Phone: 562-964-0877 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 57535