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Organization
RONALD W. NICHOLS, D.D.S. INC.
Active
Organization
RONALD W. NICHOLS, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WILLIAM NICHOLS D.D.S. (OWNER)
(626) 912-9394
Entity
Organization
Contact information
Practice address
1850 S AZUSA AVE, SUITE 108, HACIENDA HEIGHTS, CA 91745-6813
(626) 912-9394
(626) 913-6483
Mailing address
1850 S AZUSA AVE, SUITE 108, HACIENDA HEIGHTS, CA 91745-6813
(626) 912-9394
(626) 913-6483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26902
CA
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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