Individual
DR. NICHOLAS JOHN DZIEDZIEJKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5C CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 271-1220
Mailing address
5C CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 271-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4353
SC
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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