Provider Demographics
NPI:1295804631
Name:NOLIDO, NATHALY (DMD)
Entity type:Individual
Prefix:
First Name:NATHALY
Middle Name:
Last Name:NOLIDO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HUGHEY LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5290
Mailing Address - Country:US
Mailing Address - Phone:908-359-4199
Mailing Address - Fax:908-842-9192
Practice Address - Street 1:453 US HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-6022
Practice Address - Country:US
Practice Address - Phone:908-284-5050
Practice Address - Fax:908-284-5057
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI21247122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist