Individual
DR. AMANDA NICOLE NIKHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
801 S PAULINA ST RM 131, CHICAGO, IL 60612-7210
(708) 831-1489
Mailing address
801 S PAULINA ST RM 131, CHICAGO, IL 60612-7210
(708) 831-1489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033663
IL
Other
Enumeration date
06/03/2022
Last updated
12/19/2024
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