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Organization
NICHOLAS THACKER DDS INC
Active
Organization
NICHOLAS THACKER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ADAM THACKER D.D.S. (OWNER)
(619) 449-6555
Entity
Organization
Contact information
Practice address
8770 CUYAMACA ST STE 1, SANTEE, CA 92071-4282
(619) 449-6555
(619) 258-8819
Mailing address
8770 CUYAMACA ST STE 1, SANTEE, CA 92071-4282
(619) 449-6555
(619) 258-8819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57184
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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