Individual
DR. BART N NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4340 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-1909
(210) 822-8866
(210) 822-1044
Mailing address
4340 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-1909
(210) 822-8866
(210) 822-1044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12872
TX
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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