| Manolo P Nicolas Dmd Dental Corp | |
|
5126 Hollywood Blvd Suite 7 Los Angeles CA 90027 | |
| (323) 665-1261 | |
| (323) 667-0850 |
| Full Name | Manolo P Nicolas Dmd Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5126 Hollywood Blvd, Los Angeles, California |
| Authorized Official Name and Position | Manolo Pascual Nicolas (PRESIDENT) |
| Authorized Official Contact | 3236651261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manolo P Nicolas Dmd Dental Corp 5126 Hollywood Blvd Suite 7 Los Angeles CA 90027 Ph: (323) 665-1261 | Manolo P Nicolas Dmd Dental Corp 5126 Hollywood Blvd Suite 7 Los Angeles CA 90027 Ph: (323) 665-1261 |
| NPI Number | 1225367295 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225367295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39316 (California) | Primary |
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