Nicolas Dental Corporation | |
8003 Alicante Ave Lamont CA 93241-1712 | |
(661) 845-2246 | |
Not Available |
Full Name | Nicolas Dental Corporation |
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Speciality | Dentist |
Location | 8003 Alicante Ave, Lamont, California |
Authorized Official Name and Position | Epifania Nicolas (PRESIDENT) |
Authorized Official Contact | 7149069116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nicolas Dental Corporation 8003 Alicante Ave Lamont CA 93241-1712 Ph: (661) 845-2246 | Nicolas Dental Corporation 8003 Alicante Ave Lamont CA 93241-1712 Ph: (661) 845-2246 |
NPI Number | 1669793311 |
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Provider Enumeration Date | 06/17/2010 |
Last Update Date | 09/17/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669793311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 40290 (California) | Primary |
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