| NPI | 1366998163 |
|---|---|
| Other Name | CHARLES A. NICKOU, D.M.D |
| Entity Type | Organization |
| Authorized Contact | CHARLES A NICKOU Dentist/Owner 978-462-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 15915) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |