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Search › Wisconsin › Pediatric Dentistry

Nicolet Derose, D.D.S

NPI 1194892166 · on the registry since 2006

Practice

Address
316 5th St
Racine, WI 53403
Phone
(262) 534-8662
Organisation at this address
Dynamic Potential
Derose Family Counseling, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin