Individual
NICHOLAS WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6502 GRAPE RD, SUITE 882, MISHAWAKA, IN 46545-1102
(574) 968-3719
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012229A
IN
Other
Enumeration date
04/10/2015
Last updated
10/12/2017
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