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Individual

DR. ALISON MARIE NICHOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
162 MOUNTAIN RD, SUFFIELD, CT 06078-2091
(860) 668-0241
Mailing address
164 MONTAUK DR, VERNON, CT 06066-5308
(860) 334-9738

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9916
CT

Other

Enumeration date
06/26/2007
Last updated
10/25/2010
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