Epifania V Nicolas

NPI #1962851840 in Blythe, California

Provider Information

NPI Number: 1962851840
Entity Type: Organization
Organization Name: Epifania V Nicolas
Subpart: Yes (part of a larger organization)
Parent Organization: NICOLAS DENTAL CORPORATION
Primary Specialty: Dentist
Enumeration Date: Jun 10, 2016
Last Updated: Jun 10, 2016

Practice Location

Address: 301 E HOBSONWAY
City: Blythe
State: California
ZIP Code: 92225-1732
Phone: (760) 922-2300

Authorized Official

Name: DR. EPIFANIA VIOLA NICOLAS, D.D.S.
Title: PRESIDENT
Phone: (661) 845-2246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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