BRENT EUGENE NIKOLAUS

KEESLER AFB, MS
NPI1649236696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TN  DS0000004593)
Enumeration Date2006-04-26
Last Update Date2007-07-08
Business Address
-- BRENT EUGENE NIKOLAUS D.D.S.
81ST DS/SGD 606 FISHER ST, BLDG 0824
KEESLER AFB, MS 39534-2567
Phone number: 228-377-5890
Mailing Address
-- BRENT EUGENE NIKOLAUS D.D.S.
3810 POINT CLEAR DR
OCEAN SPRINGS, MS 39564-8193
Phone number: 228-818-9412
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