| Nicolas Dental Corporation | |
|
1637 S Euclid St Anaheim CA 92802-2406 | |
| (714) 998-1222 | |
| (714) 998-1092 |
| Full Name | Nicolas Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1637 S Euclid St, Anaheim, California |
| Authorized Official Name and Position | Epifania Viola Nicolas (PRESIDENT) |
| Authorized Official Contact | 6618452246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas Dental Corporation 1637 S Euclid St Anaheim CA 92802-2406 Ph: (714) 998-1222 | Nicolas Dental Corporation 1637 S Euclid St Anaheim CA 92802-2406 Ph: (714) 998-1222 |
| NPI Number | 1417306382 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417306382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40290 (California) | Primary |
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