Individual
ALYSIA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4519 DE ZAVALA RD, SAN ANTONIO, TX 78249-2019
(210) 690-9221
Mailing address
15506 INTERPLACE APT 5108, SAN ANTONIO, TX 78249-4763
(214) 284-6589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36443
TX
Other
Enumeration date
07/30/2020
Last updated
12/21/2025
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