| NPI | 1356521876 |
|---|---|
| Doing Business As | JEFFREY G NICHOLS DMD PA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLEN NICHOLS President 321-255-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN15903) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-10-17 |