DR. Richard Scot Nicklas, DDS

NPI #1861554248 in Kankakee, Illinois

Provider Information

NPI Number
1861554248
Entity Type
Individual
Name
DR. Richard Scot Nicklas, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Dec 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
497 SOUTH WALL ST
ZIP Code
60901
Phone
(815) 932-6251

Specialties & Taxonomy Codes

Specialty
Dentist

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