DR. Timothy R Nicklas, DDS

NPI #1396744280 in Wewoka, Oklahoma

Provider Information

NPI Number
1396744280
Entity Type
Individual
Name
DR. Timothy R Nicklas, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 21, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
HWY 56 & 270 JUNCTION
City
Wewoka
ZIP Code
74884
Phone
(405) 257-7318

Specialties & Taxonomy Codes

Specialty
Dentist

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