Individual
EDWARD LEE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
720 E LATHAM AVE, SUITE 2, HEMET, CA 92543-4371
(951) 929-4800
(951) 929-1591
Mailing address
720 E LATHAM AVE, SUITE 2, HEMET, CA 92543-4371
(951) 929-4800
(951) 929-1591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35960
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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