Individual
NICHOLAS EDWARD ANCONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
27600 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-5001
(248) 476-3000
Mailing address
27600 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-5001
(248) 476-3000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901600895APP21
MI
Other
Enumeration date
04/13/2021
Last updated
11/20/2024
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