Individual
DR. BRENT OWEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
305 ORANGE AVE STE A, HUNTINGTON BEACH, CA 92648-8128
(714) 960-2600
(714) 960-2699
Mailing address
305 ORANGE AVE STE A, HUNTINGTON BEACH, CA 92648-8128
(714) 960-2600
(714) 960-2699
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46509
CA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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