Individual
DR. DAVID MICHAEL NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
106 DIVISION ST, SUITE 1, COBLESKILL, NY 12043-4605
(518) 234-4365
Mailing address
152 EDGEWOOD DR., COBLESKILL, NY 12043-0337
(518) 234-4773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046859-1
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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