DR. RICHARD NICKLAS, DDS

Dentist

Active Individual
NPI: 1861554248

Practice Address

497 SOUTH WALL ST
Kankakee, IL 60901

Phone: (815) 932-6251

Specialties

Specialty Code Primary License
Dentist 122300000X Yes -

Frequently Asked Questions

NPI 1861554248 is the National Provider Identifier for DR. RICHARD NICKLAS, DDS, a Dentist provider located in Kankakee, IL. This NPI was enumerated on December 14, 2006.
DR. RICHARD NICKLAS, DDS practices at 497 SOUTH WALL ST, Kankakee, IL 60901.

Quick Facts

NPI
1861554248
Type
Individual
Enumerated
Dec 14, 2006
Last Updated
Jul 8, 2007

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