| NPI | 1558794396 |
|---|---|
| Doing Business As | NICKLAS DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICIA NICKLAS Member/Dentist 843-412-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4626) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |