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1447753561
NICHOLAS DAVID CAMIC
FARMINGTON, CT
NPI
1447753561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 12197)
Enumeration Date
2018-03-15
Last Update Date
2018-06-26
Business Address
NICHOLAS DAVID CAMIC DMD
263 FARMINGTON AVE
FARMINGTON, CT 06032
Phone number: 860-679-2000
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Mailing Address
NICHOLAS DAVID CAMIC DMD
72 FARMINGTON AVE
FARMINGTON, CT 06032-1711
Phone number: 207-314-0603
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