JOSEPH J. NICOLS JR DDS PC
Ambulatory Health at Montauk Hwy, West Islip, NY

License number
New York 023442
Category
Ambulatory Health
Type
Oral and Maxillofacial Surgery
Owner
Name: DR. JOSEPH JAMES NICOLS JR. D.D.S.
Title: PRESIDENT
Phone: (631) 587-9766
Address
Address
714 Montauk Hwy, West Islip, NY 11795
National Provider ID: 1114331253
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOSEPH J. NICOLS, JR., D.D.S., PC

714 Montauk Hwy, West Islip, NY 11795

Registration:
Jul 29, 1976
State ID:
406184
Business type:
Domestic Professional Corporation
Joseph J Nicols Jr, 714 Montauk Hwy, West Islip, NY 11795 (Physical)

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