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General, Orthopedic, Thoracic, Vascular Surgery
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DR. KENTON C NICHOLAS DDS

Surgery Yellow Pages

Greeley, Colorado

Provider NPI: 1407834120

Provider Information:
DR. KENTON C NICHOLAS DDS


Practice Location:
1900 16TH ST  GREELEY, CO 80631 US
Tel: 970-350-2458  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y204E00000XPhysicians
Oral & Maxillofacial Surgery
CO604

Other Provider Identifiers:

IssuerNumberStateType
02006047CO05
MEDICARE RAILROAD CARRIER PTANP00944805CO01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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