Provider Demographics
NPI:1457582991
Name:SAN NICOLAS, FRANCISCO P JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:P
Last Name:SAN NICOLAS
Suffix:JR
Gender:M
Credentials:DMD
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Mailing Address - Street 1:222 CHALAN SANTO PAPA ST.
Mailing Address - Street 2:THE REFLECTION CENTER STE. 301
Mailing Address - City:HAGATRA
Mailing Address - State:GU
Mailing Address - Zip Code:96910
Mailing Address - Country:US
Mailing Address - Phone:671-477-6235
Mailing Address - Fax:671-477-6237
Practice Address - Street 1:222 CHALAN SANTO PAPA ST.
Practice Address - Street 2:THE REFLECTION CENTER STE. 301
Practice Address - City:HAGATRA
Practice Address - State:GU
Practice Address - Zip Code:96910
Practice Address - Country:US
Practice Address - Phone:671-477-6235
Practice Address - Fax:671-477-6237
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GUD-9921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry