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Organization

RICK J NICHOLS DDS INC

Active
Parent organization
RICK J NICHOLS DDS INC
Other names
Just for Kids Pediatric Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
RICK J NICHOLS DDS INC
Authorized official
DR. RICK J NICHOLS DDS (OWNER/DENTIST)
(909) 798-0604
Entity
Organization

Contact information

Practice address
104 E OLIVE AVE, SUITE 200, REDLANDS, CA 92373
(909) 798-0604
(909) 798-9765
Mailing address
104 E OLIVE AVE, SUITE 200, REDLANDS, CA 92373
(909) 798-0604
(909) 798-9765

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40973
CA

Other

Enumeration date
11/30/2011
Last updated
05/11/2021
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