DR. Tim P Nicolino, D.D.S.
NPI #1104907385 in Des Moines, Iowa
Provider Information
- NPI Number
- 1104907385
- Entity Type
- Individual
- Name
- DR. Tim P Nicolino, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1004 E PARK AVE
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50315-2451
- Phone
- (515) 244-7428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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