Kongyan Drew Nicely, DDS

NPI #1194177337 in Goliad, Texas

Provider Information

NPI Number: 1194177337
Entity Type: Individual
Name: Kongyan Drew Nicely, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 12, 2016
Last Updated: Jul 12, 2016

Practice Location

Address: 317 S MARKET ST
City: Goliad
State: Texas
ZIP Code: 77963-4167
Phone: (361) 645-2381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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