Nicholas Thacker Dds Inc | |
8770 Cuyamaca St Ste 1 Santee CA 92071-4282 | |
(619) 449-6555 | |
(619) 258-8819 |
Full Name | Nicholas Thacker Dds Inc |
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Speciality | Dentist - General Practice |
Location | 8770 Cuyamaca St Ste 1, Santee, California |
Authorized Official Name and Position | Nicholas Adam Thacker (OWNER) |
Authorized Official Contact | 6194496555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicholas Thacker Dds Inc 8770 Cuyamaca St Ste 1 Santee CA 92071-4282 Ph: (619) 449-6555 | Nicholas Thacker Dds Inc 8770 Cuyamaca St Ste 1 Santee CA 92071-4282 Ph: (619) 449-6555 |
NPI Number | 1407158876 |
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Provider Enumeration Date | 11/17/2010 |
Last Update Date | 11/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407158876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 57184 (California) | Primary |
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