Individual
DR. GERARD PATRICK NIKODEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 W GANNON DR, FESTUS, MO 63028
(636) 937-9133
(636) 937-3227
Mailing address
1121 W GANNON DR, FESTUS, MO 63028
(636) 937-9133
(636) 937-3227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014933
MO
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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