| Gloria Nichols Dds Pc | |
|
1795 Penfield Rd Penfield NY 14526-2103 | |
| (585) 377-5090 | |
| Not Available |
| Full Name | Gloria Nichols Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1795 Penfield Rd, Penfield, New York |
| Authorized Official Name and Position | Gloria Nichols (OWNER) |
| Authorized Official Contact | 5852800457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Nichols Dds Pc 1239 Northrup Rd Penfield NY 14526-9601 Ph: () - | Gloria Nichols Dds Pc 1795 Penfield Rd Penfield NY 14526-2103 Ph: (585) 377-5090 |
| NPI Number | 1568058188 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568058188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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