Individual
NICOLAS MONCLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1745 CITY CENTER BLVD, ELIZABETH CITY, NC 27909-8946
(252) 331-2304
Mailing address
1745 CITY CENTER BLVD, ELIZABETH CITY, NC 27909-8946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13206
NC
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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