DR. Nicholas Adam Thacker, D.D.S.

NPI #1588810873 in Santee, California

Provider Information

NPI Number: 1588810873
Entity Type: Individual
Name: DR. Nicholas Adam Thacker, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 18, 2008
Last Updated: Jun 17, 2010

Practice Location

Address: 8770 CUYAMACA ST
Address 2: SUITE 1
City: Santee
State: California
ZIP Code: 92071-4373
Phone: (909) 856-6251

Specialties & Taxonomy Codes

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

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