Most Relevant Information
Provider Data
| NPI Number: | 1003543745 |
| Provider Name: | NICHOL MARIE CID DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 27219 |
Most Important Dates
| Enumeration Date: | 08/03/2022 |
| Last Updated: | 08/03/2022 |
Provider Practice Location
9560 SW 107TH AVE STE 206
MIAMI
FL
331762790
Practice Location Phone/Fax
| Phone: | 3052742110 |
| Fax: |
Provider Mailing Location
12682 SW 78TH ST
MIAMI
FL
331833514
Provider Mailing Phone/Fax
| Phone: | 3057810179 |
| Fax: |