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Organization

DEAN P NICHOLAS DDS & ASSOC LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CELESTE NICHOLAS (SYSTEMS ADMINISTRATOR)
(630) 678-9090
Entity
Organization

Contact information

Practice address
510 E 22ND ST, LOMBARD, IL 60148-6110
(630) 678-9090
(630) 678-9099
Mailing address
510 E 22ND ST, LOMBARD, IL 60148-6110
(630) 678-9090
(630) 678-9099

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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