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1104907385
TIM P NICOLINO
DES MOINES, IA
NPI
1104907385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 6914)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Dr. TIM P NICOLINO D.D.S.
1004 E PARK AVE
DES MOINES, IA 50315-2451
Phone number: 515-244-7428
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Mailing Address
Dr. TIM P NICOLINO D.D.S.
1004 E. PARK AVE
DES MOINES, IA 50315
Phone number: 515-244-7428
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