DR. NICHOLE ELCANO, DDS

Dentist

Active Individual
NPI: 1205906633

Practice Address

5017 GREEN BAY RD
SUITE 136
Kenosha, WI 53144

Phone: (262) 652-6121

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 5720-015 (WI)

Frequently Asked Questions

NPI 1205906633 is the National Provider Identifier for DR. NICHOLE ELCANO, DDS, a Dentist provider located in Kenosha, WI. This NPI was enumerated on November 9, 2006.
DR. NICHOLE ELCANO, DDS practices at 5017 GREEN BAY RD, SUITE 136, Kenosha, WI 53144.

Quick Facts

NPI
1205906633
Type
Individual
Enumerated
Nov 9, 2006
Last Updated
Jul 8, 2007

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