Organization
NICHOLAS KOCHENOUR DMD MSD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS S KOCHENOUR DMD (OWNER)
(252) 258-3724
Entity
Organization
Contact information
Practice address
1418 OH-60, SUITE 1, VERMILION, OH 44089
(440) 967-0186
Mailing address
4185 SILSBY RD, UNIVERSITY HEIGHTS, OH 44118-3327
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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