Individual
DR. GRAHAM R NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 E NEWTON ST, DEPARTMENT OF ENDODONTICS, G 705, BOSTON, MA 02118-2308
(617) 638-4780
Mailing address
45 E NEWTON ST, APT. 115, BOSTON, MA 02118-4802
(617) 572-2055
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10392
MA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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