NICHOLAS ADAM THACKER

SANTEE, CA
NPI1588810873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  57184)
Enumeration Date2008-08-18
Last Update Date2010-06-17
Business Address
Dr. NICHOLAS ADAM THACKER D.D.S.
8770 CUYAMACA ST SUITE 1
SANTEE, CA 92071-4373
Phone number: 909-856-6251
Mailing Address
Dr. NICHOLAS ADAM THACKER D.D.S.
8770 CUYAMACA ST SUITE 1
SANTEE, CA 92071-4373
Phone number: 909-856-6251