| Epifania V Nicolas Dds Inc. | |
|
301 E Hobsonway Blythe CA 92225-1732 | |
| (760) 922-2300 | |
| (760) 922-2277 |
| Full Name | Epifania V Nicolas Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 301 E Hobsonway, Blythe, California |
| Authorized Official Name and Position | Epifania Viola Nicolas (PRESIDENT/OWNER) |
| Authorized Official Contact | 7149069116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epifania V Nicolas Dds Inc. 1637 S Euclid St Anaheim CA 92802-2406 Ph: (714) 906-9116 | Epifania V Nicolas Dds Inc. 301 E Hobsonway Blythe CA 92225-1732 Ph: (760) 922-2300 |
| NPI Number | 1144689753 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144689753 | NPI | - | NPPES |
| B4029004 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
Epifania V Nicolas Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Hobsonway, Blythe, CA 92225 Phone: 760-922-2300 | |
Smile Bright Dental Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Hobsonway, Blythe, CA 92225 Phone: 760-922-2300 | |
Nicolas Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Hobsonway, Blythe, CA 92225 Phone: 760-922-2300 Fax: 760-922-2277 |