Jordan Patrick Nickel, DMD

NPI #1104479989 in Visalia, California

Provider Information

NPI Number: 1104479989
Entity Type: Individual
Name: Jordan Patrick Nickel, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 19, 2019
Last Updated: Jul 19, 2019

Practice Location

Address: 3206 N DINUBA BLVD STE F
City: Visalia
State: California
ZIP Code: 93291-8730
Phone: (559) 334-2013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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