Organization
NICHOLAS A MEDEL DDS PC
Active
Other names
Athens Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ADAM MEDEL DDS/OMS (OWNER)
(586) 291-2078
Entity
Organization
Contact information
Practice address
307 E CLINTON AVE, ATHENS, TX 75751-3405
(586) 291-2078
Mailing address
307 E CLINTON AVE, ATHENS, TX 75751-3405
(586) 291-2078
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24965
TX
Other
Enumeration date
08/15/2015
Last updated
08/15/2015
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