| Ronald W. Nichols, D.d.s. Inc. | |
|
1850 S Azusa Ave Suite 108 Hacienda Heights CA 91745-6813 | |
| (626) 912-9394 | |
| (626) 913-6483 |
| Full Name | Ronald W. Nichols, D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1850 S Azusa Ave, Hacienda Heights, California |
| Authorized Official Name and Position | Ronald William Nichols (OWNER) |
| Authorized Official Contact | 6269129394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald W. Nichols, D.d.s. Inc. 1850 S Azusa Ave Suite 108 Hacienda Heights CA 91745-6813 Ph: (626) 912-9394 | Ronald W. Nichols, D.d.s. Inc. 1850 S Azusa Ave Suite 108 Hacienda Heights CA 91745-6813 Ph: (626) 912-9394 |
| NPI Number | 1548468382 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548468382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 26902 (California) | Primary |
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