Richard I Nicholson DDS

NPI 1619060738 - Dentist - 122300000X

NPI Details
NPI 1619060738
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
825 451
SUITE 250
JUPITER FL, 33477, US
Phone (561) 744-6121
Fax (561) 744-8707
Business Location
825 US 1
SUITE 250
JUPITER FL, 33477, US
Phone (561) 744-6121
Fax (561) 744-8707
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN9468
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According to our database, Richard I Nicholson DDS NPI is 1619060738, taxonomy code is 122300000X and license number is DN9468, license state is located at Florida. Richard I Nicholson DDS physically located at 825 451, Jupiter FL, 33477. NPI Number Richard I Nicholson DDS has the Individual type.

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1619060738 NPI number is provided on an as is basis without warranty of any kind. 1619060738 is maintained by the National Plan & Provider Enumeration System. The contents of Richard I Nicholson DDS are for informational purposes only.