Individual
DR. ALISHA NICHOLS THANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3350 LA JOLLA VILLAGE DR # 160, SAN DIEGO, CA 92161-3679
(858) 552-7525
(858) 552-7516
Mailing address
965 ROGERS ST UNIT 104, DOWNERS GROVE, IL 60515-3679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000
CA
122300000X
Dentist
101945
CA
Other
Enumeration date
02/06/2016
Last updated
01/02/2019
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