Clay Moore Nichols DDS

NPI 1831223841 - Dentist - 1223G0001X

NPI Details
NPI 1831223841
Gender Male
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
508 W ATEN RD
IMPERIAL CA, 92251-9718, US
Phone (760) 355-4444
Fax (760) 355-4446
Business Location
508 W ATEN RD
IMPERIAL CA, 92251-9718, US
Phone (760) 355-4444
Fax (760) 355-4446
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 34531
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According to our database, Dr. Clay Moore Nichols DDS NPI is 1831223841, taxonomy code is 1223G0001X and license number is 34531, license state is located at California. Clay Moore Nichols DDS physically located at 508 W Aten Rd, Imperial CA, 92251-9718. NPI Number Clay Moore Nichols DDS has the Individual type.

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1831223841 NPI number is provided on an as is basis without warranty of any kind. 1831223841 is maintained by the National Plan & Provider Enumeration System. The contents of Clay Moore Nichols DDS are for informational purposes only.