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Organization
LES E. NICHOLSON D.D.S. INC.
Active
Organization
LES E. NICHOLSON D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LES EDWARD NICHOLSON D.D.S. (PRESIDENT)
(304) 594-1499
Entity
Organization
Contact information
Practice address
2220 CHEAT RD, MORGANTOWN, WV 26508-4453
(304) 594-1499
(304) 594-0150
Mailing address
2220 CHEAT RD, MORGANTOWN, WV 26508-4453
(304) 594-1499
(304) 594-0150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2331
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136227001
—
WV
01
—
98787
UNITED CONCORDIA CORP #
WV
Enumeration date
06/20/2006
Last updated
08/22/2020
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