Individual
NICHOLAS STEPHEN MORENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3343 HARRISON AVE, CINCINNATI, OH 45211-5511
(513) 661-2146
Mailing address
158 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(513) 661-2146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-024341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8898
DENTAL LICENSE
SC
Enumeration date
10/23/2014
Last updated
04/17/2024
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