Nicholas James Cvach Valid NPI
Individual provider · Dentist · Taylorsville, MS
- NPI
- 1679138473
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 4119-20 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2019-05-07
- Last updated
- 2020-08-03
Practice location
411 Willis St
Taylorsville, MS 39168-4550
(601) 785-4770