Individual
DR. NICOLA R. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2119 HAMILTON CREEK PKWY, SUITE 200, DACULA, GA 30019-3293
(678) 714-7011
(678) 714-8388
Mailing address
6675 BLANTYRE BLVD, STONE MOUNTAIN, GA 30087-5499
(678) 714-7011
(678) 714-8388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278046528A
—
GA
Enumeration date
03/26/2007
Last updated
07/02/2013
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