Individual
NICHOLAS MARTIN BOCCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3539
(816) 805-8140
Mailing address
5410 NEELA LN, CORPUS CHRISTI, TX 78413-2187
(816) 805-8140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2023021473
MO
1223G0001X
General Practice Dentistry
62086
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2023
Last updated
12/27/2023
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