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Organization
EPIFANIA V NICOLAS
Active
Organization
EPIFANIA V NICOLAS
Active
Parent organization
NICOLAS DENTAL CORPORATION
Other names
Nicolas Dental Corporation
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICOLAS DENTAL CORPORATION
Authorized official
DR. EPIFANIA VIOLA NICOLAS D.D.S. (PRESIDENT)
(661) 845-2246
Entity
Organization
Contact information
Practice address
301 E HOBSONWAY, BLYTHE, CA 92225-1732
(760) 922-2300
(760) 922-2277
Mailing address
301 E HOBSONWAY, BLYTHE, CA 92225-1732
(760) 922-2300
(760) 922-2277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40290
CA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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