Individual
DR. NICHOLAS A DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7345 W 25TH ST, NORTH RIVERSIDE, IL 60546-1409
(312) 274-0308
Mailing address
430 W ERIE ST, STE 200, CHICAGO, IL 60654-6914
(920) 838-1649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0020404720
CO
122300000X
Dentist
019027831
IL
Other
Enumeration date
01/28/2010
Last updated
08/18/2022
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