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Individual
NICHOLAS BRYAN LIAS
Active
Individual
NICHOLAS BRYAN LIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10605
OR
122300000X
Dentist
Primary
DS040703
PA
Other
Enumeration date
04/08/2015
Last updated
02/16/2024
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