Individual
DR. ROBERT LEON NICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1522 W CENTRE AVENUE, PORTAGE, MI 49024
(269) 327-6765
(269) 327-1138
Mailing address
1522 W CENTRE AVENUE, PORTAGE, MI 49024
(269) 327-6765
(269) 327-1138
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016827
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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