| Nicolas Dental Corporation | |
|
414 Tenneese St Redlands CA 92373-8126 | |
| (909) 798-4000 | |
| (909) 798-5020 |
| Full Name | Nicolas Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 414 Tenneese St, Redlands, California |
| Authorized Official Name and Position | Epifania Viola Nicolas (OFFICE MANAGER) |
| Authorized Official Contact | 6618452246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas Dental Corporation 414 Tennessee St Redlands CA 92373-8163 Ph: (909) 798-4000 | Nicolas Dental Corporation 414 Tenneese St Redlands CA 92373-8126 Ph: (909) 798-4000 |
| NPI Number | 1114376126 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114376126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40290 (California) | Primary |
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