Individual
DANIEL AUBREY NUCKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8410 DATAPOINT DR FL 3, SAN ANTONIO, TX 78229-3220
(210) 949-8900
Mailing address
2825 WHITE FALL RD, GRETNA, VA 24557-4791
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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