Individual
DR. DAVIA NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
301 LLOYD ST, CARRBORO, NC 27510-1823
(919) 933-8494
Mailing address
301 LLOYD ST, CARRBORO, NC 27510-1823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9782
NC
Other
Enumeration date
06/20/2014
Last updated
07/22/2015
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