Individual
DR. GAIL NICOSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
711 W 38TH ST STE G5, AUSTIN, TX 78705-1134
(512) 453-1600
(512) 453-1503
Mailing address
711 W 38TH ST STE G5, AUSTIN, TX 78705-1134
(512) 453-1600
(512) 453-1503
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16530
TX
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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