DR. Dennis Crandall Nicola, D.D.S.

NPI #1619974607 in Portland, Oregon

Provider Information

NPI Number: 1619974607
Entity Type: Individual
Name: DR. Dennis Crandall Nicola, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 5, 2005
Last Updated: Jul 25, 2014

Practice Location

Address: 2730 SW MOODY AVE
City: Portland
State: Oregon
ZIP Code: 97201-5042
Phone: (503) 346-4725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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