Nicolas Dental Corporation | |
301 E Hobsonway Blythe CA 92225-1732 | |
(760) 922-2300 | |
(760) 922-2277 |
Full Name | Nicolas Dental Corporation |
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Speciality | Dentist |
Location | 301 E Hobsonway, Blythe, 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 |
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Nicolas Dental Corporation 301 E Hobsonway Blythe CA 92225-1732 Ph: (760) 922-2300 | Nicolas Dental Corporation 301 E Hobsonway Blythe CA 92225-1732 Ph: (760) 922-2300 |
NPI Number | 1962851840 |
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Provider Enumeration Date | 06/10/2016 |
Last Update Date | 06/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962851840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 40290 (California) | Primary |
Epifania V Nicolas Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Hobsonway, Blythe, CA 92225 Phone: 760-922-2300 Fax: 760-922-2277 | |
Epifania V Nicolas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Hobsonway, Blythe, CA 92225 Phone: 760-922-2300 | |
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