Organization
KEYSER FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY NICHOLS DDS. (PRESIDENT)
(304) 788-6647
Entity
Organization
Contact information
Practice address
1035 FLORIDA AVE., KEYSER, WV 26726
(304) 788-6647
(301) 777-3624
Mailing address
1035 FLORIDA AVE., KEYSER, WV 26726
(304) 788-6647
(301) 777-3624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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