Santee Cottonwood Dental,c.s.nicholson,iii.d.d.s,inc.

NPI #1861632630 in Santee, California

Provider Information

NPI Number: 1861632630
Entity Type: Organization
Organization Name: Santee Cottonwood Dental,c.s.nicholson,iii.d.d.s,inc.
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Mar 5, 2009
Last Updated: Mar 5, 2009

Practice Location

Address: 9715 MISSION GORGE RD
City: Santee
State: California
ZIP Code: 92071-3809
Phone: (619) 448-7444

Authorized Official

Name: MISS ROHSHANA PLUNKETT
Title: MANAGER
Phone: (619) 448-7444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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