Organization
GLORIA NICHOLS DDS PC
Active
Other names
Penfield Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA NICHOLS DDS (OWNER)
(585) 280-0457
Entity
Organization
Contact information
Practice address
1795 PENFIELD RD, PENFIELD, NY 14526-2103
(585) 377-5090
Mailing address
1239 NORTHRUP RD, PENFIELD, NY 14526-9601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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