Organization
NIKODEM AND HILL FAMILY DENTAL AND ORTHO
Active
Parent organization
NIKODEM AND HILL FAMILY DENTAL AND ORTHO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIKODEM AND HILL FAMILY DENTAL AND ORTHO
Authorized official
DR. GERARD PATRICK NIKODEM DDS (SECRETARY)
(573) 438-2118
Entity
Organization
Contact information
Practice address
200 HEALTH WAY DR STE 1, POTOSI, MO 63664-1447
(573) 438-2118
Mailing address
200 HEALTHWAY DR STE 1, WASHINGTON, MO 63664
(573) 438-2118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014933
MO
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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