Nicolas Dental Corporation

NPI #1669793311 in Lamont, California

Provider Information

NPI Number: 1669793311
Entity Type: Organization
Organization Name: Nicolas Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2010
Last Updated: Sep 17, 2013

Practice Location

Address: 8003 ALICANTE AVE
City: Lamont
State: California
ZIP Code: 93241-1712
Phone: (661) 845-2246

Authorized Official

Name: EPIFANIA NICOLAS, DDS
Title: PRESIDENT
Phone: (714) 906-9116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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