DR. Charles A Nickou, D.M.D

NPI #1679792006 in Newburyport, Massachusetts

Provider Information

NPI Number: 1679792006
Entity Type: Individual
Name: DR. Charles A Nickou, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 16 HARRIS ST
City: Newburyport
State: Massachusetts
ZIP Code: 01950-2603
Phone: (978) 462-9643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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