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1114049160
ANNE A. NICHOLAS
PALM DESERT, CA
NPI
1114049160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 37966)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Dr. ANNE A. NICHOLAS D.D.S.
73929 LARREA ST SUITE 2
PALM DESERT, CA 92260-4305
Phone number: 760-340-1030
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Mailing Address
Dr. ANNE A. NICHOLAS D.D.S.
75347 MONTECITO DR
INDIAN WELLS, CA 92210-8358
Phone number: 760-340-1030
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