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Organization
MANOLO P NICOLAS DMD DENTAL CORP
Active
Organization
MANOLO P NICOLAS DMD DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOLO PASCUAL NICOLAS DMD (PRESIDENT)
(323) 665-1261
Entity
Organization
Contact information
Practice address
5126 HOLLYWOOD BLVD, SUITE 7, LOS ANGELES, CA 90027
(323) 665-1261
(323) 667-0850
Mailing address
5126 HOLLYWOOD BLVD, SUITE 7, LOS ANGELES, CA 90027
(323) 665-1261
(323) 667-0850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39316
CA
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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