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KEITH NICHOLSON, D.D.S

D.D.S

Orthodontics and Dentofacial Orthopedics Dentistry

NPI: 1093959660Individual

Specialties, Licenses & Credentials

Dentist — Orthodontics and Dentofacial Orthopedics

Code: 1223X0400X

8795/879(KY)8644(NC)12012234A(IN)DS043962(PA)

Dentist

Code: 122300000X

8644(NC)

Contact & Hours

Address
100 S BROAD ST STE 1530
PHILADELPHIA, PA 19110

Quick Facts

NPI
1093959660
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
5
Locations
1

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