Organization
DENTAL IMPLANTS OF OCALA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKELICE BRAND DDS (OWNER/DENTIST)
(352) 653-2500
Entity
Organization
Contact information
Practice address
7550 SW 61ST AVE, SUITE 2, OCALA, FL 34476-8310
(352) 653-2500
(352) 671-1093
Mailing address
7550 SW 61ST AVE, SUITE 2, OCALA, FL 34476-8310
(352) 653-2500
(352) 671-1093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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