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1316305246
ALISHA NICHOLS THANOS
SAN DIEGO, CA
NPI
1316305246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 0000)
Additional Taxonomies
122300000X Dentist
(Licence: CA 101945)
Enumeration Date
2016-02-06
Last Update Date
2019-01-02
Business Address
Dr. ALISHA NICHOLS THANOS DMD
3350 LA JOLLA VILLAGE DR # 160
SAN DIEGO, CA 92161-3679
Phone number: 858-552-7525
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Mailing Address
Dr. ALISHA NICHOLS THANOS DMD
965 ROGERS ST UNIT 104
DOWNERS GROVE, IL 60515-3679
Phone number:
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