Individual
DR. BRIAN KEITH NICOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2581 NUT TREE RD, SUITE D, VACAVILLE, CA 95687-6915
(707) 451-8352
(707) 451-8234
Mailing address
2581 NUT TREE RD, SUITE D, VACAVILLE, CA 95687-6915
(707) 451-8352
(707) 451-8234
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28365
CA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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