Individual
ALFRED A NICKEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
897 EMBARCADERO DR, #102, EL DORADO HILLS, CA 95762-4097
(916) 934-3403
Mailing address
897 EMBARCADERO DR, #102, EL DORADO HILLS, CA 95762-4097
(916) 934-3403
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
23742
CA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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