Epifania V Nicolas DDS INC

NPI #1205211398 in Blythe, California

Provider Information

NPI Number: 1205211398
Entity Type: Organization
Organization Name: Epifania V Nicolas DDS INC
Primary Specialty: Dentist
Enumeration Date: Jul 30, 2015
Last Updated: Jul 30, 2015

Practice Location

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

Authorized Official

Name: EPIFANIA NICOLAS, DDS
Title: OWNER
Phone: (760) 922-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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