Individual
DR. GEORGE RENE NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
5973 W HILLSBORO BLVD, PARKLAND, FL 33067-4542
(954) 340-4044
Mailing address
5973 W HILLSBORO BLVD, PARKLAND, FL 33067-4542
(954) 340-4044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN14209
FL
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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