institution
Cornelius A. Nicholson
Dental Clinic/Center in Seattle, Washington
NPI 1528153343

Cornelius A. Nicholson is a Dental Clinic/Center based in Seattle, WA and is specialized in Dental. Cornelius A. Nicholson practices in Seattle, WA. The NPI Number for Cornelius A. Nicholson is 1528153343 and holds a License No. 6379 (Washington).

The current practice location address for Cornelius A. Nicholson is 2815 S Mcclellan St, Seattle, WA and can be reached out via phone at 206-722-5000 and via fax at 206-721-1428. You can also correspond with Cornelius A. Nicholson through the mailing address at 2815 S MCCLELLAN ST, SEATTLE, WA - 98144-5407 (mailing address contact number: 206-722-5000).

Location: 2815 S Mcclellan St, Seattle, WA, 98144-5407
institution
Provider Profile Details
NPI Number
1528153343
Provider Name
Cornelius A. Nicholson
Credential
Provider Entity Type
Organization
Address
2815 S Mcclellan St, Seattle, WA, 98144-5407
Phone Number
206-722-5000
Fax Number
206-721-1428
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5055728 01 WA DSHS
5055728 05 WA
000830508 01 WA PROV# UNITED CORNCORDIA
institution
Provider Business Practice Location Address Details
Address
2815 S Mcclellan St
City
State
Zip
98144-5407
Phone Number
206-722-5000
Fax Number
206-721-1428
person
Provider Business Mailing Address Details
Address
2815 S Mcclellan St
City
State
Zip
98144-5407
Phone Number
206-722-5000
Fax Number
206-721-1428
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
6379 (Washington)
Definition
Definition to come...
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