Individual
MR. NICHOLAS D ANDROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5 ROSE CT, PASCO, WA 99301-1895
(509) 430-8477
Mailing address
5 ROSE CT, PASCO, WA 99301-1895
(509) 430-8477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60247879
WA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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