Individual
DR. NICHOLAS FETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1880
Mailing address
1253 MAKALAPA GATE RD, JBPHH, HI 96860-4479
(808) 473-1880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033086
IL
Other
Enumeration date
07/24/2021
Last updated
08/25/2024
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