Individual
DR. ANNE A. NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
73929 LARREA ST, SUITE 2, PALM DESERT, CA 92260-4305
(760) 340-1030
Mailing address
75347 MONTECITO DR, INDIAN WELLS, CA 92210-8358
(760) 340-1030
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37966
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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