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104 E Olive Ave Suite 200 Redlands CA 92373 | |
| (909) 798-0604 | |
| (909) 798-9765 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 104 E Olive Ave, Redlands, California |
| Authorized Official Name and Position | Rick J Nichols (OWNER/DENTIST) |
| Authorized Official Contact | 9097980604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
104 E Olive Ave Suite 200 Redlands CA 92373 Ph: (909) 798-0604 | 104 E Olive Ave Suite 200 Redlands CA 92373 Ph: (909) 798-0604 |
| NPI Number | 1811264161 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811264161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 40973 (California) | Primary |
Brenda Miller Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10010 Alabama St, Redlands, CA 92374 Phone: 951-313-5068 | |
V Rana Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 Phone: 909-334-4018 | |
Christopher M Sechrist Dds And Christopher M Sechrist Gen Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 E Citrus Ave Ste 201, Redlands, CA 92373 Phone: 909-798-3772 | |
Sang Eun Lee D.d.s. Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 620 Alabama St, Redlands, CA 92373 Phone: 909-851-7323 | |