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Organization
NICOLAS DENTAL CORPORATION
Active
Organization
NICOLAS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EPIFANIA NICOLAS DDS (PRESIDENT)
(714) 906-9116
Entity
Organization
Contact information
Practice address
8003 ALICANTE AVE, LAMONT, CA 93241-1712
(661) 845-2246
Mailing address
8003 ALICANTE AVE, LAMONT, CA 93241-1712
(661) 845-2246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40290
CA
Other
Enumeration date
06/17/2010
Last updated
09/17/2013
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