Individual
MRS. GLORIA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2041 PENFIELD RD, PENFIELD, NY 14526
(585) 377-5090
(585) 377-2873
Mailing address
1239 NORTHRUP RD, PENFIELD, NY 14526
(585) 872-6054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0397601
NY
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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