Dr Paul Russell a Nicotra DDS Ltd

NPI #1578752044 in Palatine, Illinois

Provider Information

NPI Number: 1578752044
Entity Type: Organization
Organization Name: Dr Paul Russell a Nicotra DDS Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 135 W JOHNSON ST
Address 2: STE #3
City: Palatine
State: Illinois
ZIP Code: 60067
Phone: (847) 358-4700

Authorized Official

Name: DR. PAUL R A NICOTRA SR., DDS
Title: PRES
Phone: (847) 358-4700

Specialties & Taxonomy Codes

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

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