Individual
DR. NICHOLAS DEMIAN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301B MAIN ST, OLYPHANT, PA 18447-2311
(570) 876-8526
(570) 876-8528
Mailing address
301B MAIN ST, OLYPHANT, PA 18447-2311
(570) 876-8526
(570) 876-8528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026361L
PA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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