Dr. Patricia Nicklas

NPI #1558794396 in Ladson, South Carolina

Provider Information

NPI Number
1558794396
Entity Type
Organization
Organization Name
Dr. Patricia Nicklas
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 15, 2013
Last Updated
Aug 15, 2013

Practice Location

Address
9565 HIGHWAY 78
Address 2
UNIT 600B
City
Ladson
ZIP Code
29456-4118
Phone
(843) 412-4036

Authorized Official

Name
DR. PATRICIA NICKLAS, DDS
Title
MEMBER/DENTIST
Phone
(843) 412-4036

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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