Individual
DR. CLAY MOORE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
508 W ATEN RD, IMPERIAL, CA 92251-9718
(760) 355-4444
(760) 355-4446
Mailing address
508 W ATEN RD, IMPERIAL, CA 92251-9718
(760) 355-4444
(760) 355-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34531
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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