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1225870173
NICHOLAS D SWANSON
BELLEVILLE, IL
NPI
1225870173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.035187)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
Dr. NICHOLAS D SWANSON DMD
16 N JACKSON ST
BELLEVILLE, IL 62220-1425
Phone number: 618-235-5141
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Mailing Address
Dr. NICHOLAS D SWANSON DMD
9643 WINCHESTER ST
MASCOUTAH, IL 62258-2889
Phone number: 618-971-6425
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