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Individual

DR. NATHANIEL D TRICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
244 HYDRAULIC RIDGE ROAD, CENTRAL VIRGINIA ORAL & FACIAL SURGEONS, CHARLOTTESVILLE, VA 22901
(434) 973-3348
(434) 977-5790
Mailing address
244 HYDRAULIC RIDGE ROAD, CHARLOTTESVILLE, VA 22901
(434) 973-3348
(434) 977-5790

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401412914
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12010200A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00011016
WA

Other

Enumeration date
12/15/2005
Last updated
08/23/2010
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