Individual
DR. NICHOLAS WILLARD SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6963 E MAIN ST, MESA, AZ 85207-8209
(480) 981-3047
Mailing address
6963 E MAIN ST, MESA, AZ 85207-8209
(480) 981-3047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010826
AZ
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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