Nikodem Dental Care

NPI #1902207426 in Hazelwood, Missouri

Provider Information

NPI Number
1902207426
Entity Type
Organization
Organization Name
Nikodem Dental Care
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 16, 2014
Last Updated
Sep 16, 2014

Practice Location

Address
811 HAZELWEST DR
ZIP Code
63042-1749
Phone
(314) 731-7555

Authorized Official

Name
CHARLES DANIEL HURLEY, DDS
Title
DENTIST
Phone
(314) 731-7555

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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Part of Nikodem Dental Holdings, Inc.

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