Dr. George Rene Nicolas, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Parkland, FL. Individual provider (NPI-1).
NPI number1457598518
StatusActive
Last updated in NPPESJan 12, 2009
Details
- NPI
- 1457598518
- Entity type
- Individual (NPI-1)
- Name
- Dr. George Rene Nicolas
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2009
- Last updated
- Jan 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DN14209 | FL | Yes |
Practice location
5973 W Hillsboro BlvdParkland, FL 33067-4542
Phone 954-340-4044
Mailing address
5973 W Hillsboro BlvdParkland, FL 33067-4542
Phone 954-340-4044
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