Nicolas Dental Corporation

NPI #1346605391 in Lamont, California

Provider Information

NPI Number: 1346605391
Entity Type: Organization
Organization Name: Nicolas Dental Corporation
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 17, 2015
Last Updated: Apr 5, 2016

Practice Location

Address: 8003 ALICANTE AVE
City: Lamont
State: California
ZIP Code: 93241-1712
Phone: (714) 906-9116

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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