Individual
ANCA NICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4524 BROGDAN FARM COURT, BUFORD, GA 30518-8779
(404) 933-9816
Mailing address
4524 BROGDAN FARM COURT, BUFORD, GA 30518-8779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013784
GA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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