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Organization
JESSICA DE LEON NICHOLAS DDS INC
Active
Organization
JESSICA DE LEON NICHOLAS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L NICHOLAS DDS (PRESIDENT DENTIST)
(805) 486-0214
Entity
Organization
Contact information
Practice address
3725 SAVIERS RD, OXNARD, CA 93033-6432
(805) 486-0214
(805) 240-3470
Mailing address
3725 SAVIERS ROAD, OXNARD, CA 93033-6432
(805) 486-0214
(805) 240-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36590
CA
Other
Enumeration date
01/18/2007
Last updated
12/18/2015
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