DENNIS CRANDALL NICOLA

PORTLAND, OR
NPI1619974607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D5433)
Enumeration Date2005-07-05
Last Update Date2014-07-25
Business Address
Dr. DENNIS CRANDALL NICOLA D.D.S.
2730 SW MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 503-346-4725
Mailing Address
Dr. DENNIS CRANDALL NICOLA D.D.S.
8485 SW CONNEMARA PL
BEAVERTON, OR 97008-6934
Phone number: 503-641-3612