# NICHOLAS T GOLBA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235642554
- **Authorized official:** NICHOLAS GOLBA (OWNER)
- **Authorized official phone:** (906) 629-1369

## Contact information

- **Practice address:** 2850 US 41 W, MARQUETTE, MI 49855-2253
- **Practice address phone:** (906) 629-1369
- **Mailing address:** PO BOX 3189, SYRACUSE, NY 13220-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 11/08/2017