PATRICIA M NICKLAS

NORTH CHARLESTON, SC
NPI1023230414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  30-020038)
Enumeration Date2007-05-03
Last Update Date2010-12-29
Business Address
-- PATRICIA M NICKLAS DDS
6035 RIVERS AVE STE A
NORTH CHARLESTON, SC 29406-5018
Phone number: 843-572-9909
Mailing Address
-- PATRICIA M NICKLAS DDS
201 W 8TH ST SUITE 810
PUEBLO, CO 81003-3038
Phone number: 719-562-4447