Individual
NICHOLAS JAMES CVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 WILLIS ST, TAYLORSVILLE, MS 39168-4550
(601) 785-4770
Mailing address
2617 SANDY HOOK RD, FOREST HILL, MD 21050-1913
(410) 652-7973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4119-20
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
05/07/2019
Last updated
08/03/2020
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