Ann Radoslav Budovalcev Nicholas, DMD

NPI #1437400173 in Independence, Kentucky

Provider Information

NPI Number: 1437400173
Entity Type: Individual
Name: Ann Radoslav Budovalcev Nicholas, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 20, 2012
Last Updated: Jan 27, 2016

Practice Location

Address: 5302 MADISON PIKE
City: Independence
State: Kentucky
ZIP Code: 41051-8652
Phone: (434) 249-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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