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Individual

DR. TIM P NICOLINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1004 E PARK AVE, DES MOINES, IA 50315-2451
(515) 244-7428
(515) 244-2437
Mailing address
1004 E. PARK AVE, DES MOINES, IA 50315
(515) 244-7428
(515) 244-2437

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6914
IA

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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