Individual
DR. NICOLA G ZABOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S 8TH AVE STOP 8088, POCATELLO, ID 83209-0002
(440) 623-1264
Mailing address
4170 HAWTHORNE RD APT C302, CHUBBUCK, ID 83202-2891
(440) 623-1264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5282
ID
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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