Epifania V Nicolas DDS Inc.

NPI #1144689753 in Blythe, California

Provider Information

NPI Number: 1144689753
Entity Type: Organization
Organization Name: Epifania V Nicolas DDS Inc.
Primary Specialty: Dentist
Enumeration Date: Feb 11, 2016
Last Updated: Apr 6, 2016

Practice Location

Address: 301 E HOBSONWAY
City: Blythe
State: California
ZIP Code: 92225-1732
Phone: (760) 922-2300

Authorized Official

Name: EPIFANIA VIOLA NICOLAS
Title: PRESIDENT/OWNER
Phone: (714) 906-9116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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