Individual
DR. DAVID WILLIAM NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
26302 LA PAZ RD, SUITE 102, MISSION VIEJO, CA 92691-5313
(949) 586-7000
(949) 586-0158
Mailing address
26302 LA PAZ RD, SUITE 102, MISSION VIEJO, CA 92691-5313
(949) 586-7000
(949) 586-0158
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33505
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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