Nickelice Brand D.D.S.

NPI 1093846602 - Dentist - 1223G0001X

NPI Details
NPI 1093846602
Gender Male
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
707 PENNSYLVANIA AVE
SUITE 1200
ALTAMONTE SPRINGS FL, 32701-6471, US
Phone (407) 235-5071
Fax
Business Location
1325 S INTERNATIONAL PKWY
SUITE 1201
LAKE MARY FL, 32746-1406, US
Phone (407) 235-5071
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number 0012276
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According to our database, Dr. Nickelice Brand D.D.S. NPI is 1093846602, taxonomy code is 1223G0001X and license number is 0012276, license state is located at Florida. Nickelice Brand D.D.S. physically located at 707 Pennsylvania Ave, Altamonte Springs FL, 32701-6471. NPI Number Nickelice Brand D.D.S. has the Individual type.

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1093846602 NPI number is provided on an as is basis without warranty of any kind. 1093846602 is maintained by the National Plan & Provider Enumeration System. The contents of Nickelice Brand D.D.S. are for informational purposes only.