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DR. ERICA NICOLE BIGOS D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1700940129

Individual Registrant:
DR. ERICA NICOLE BIGOS D.D.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
42104 N. VENTURE DRIVE SUITE E-103 ANTHEM, AZ 85086 US
Tel: 623-551-9200  Fax: 623-551-9102

Contact information for business:
42104 N. VENTURE DRIVE SUITE E-103 ANTHEM, AZ 85086 US
Tel: 623-551-9200  Fax: 623-551-9102

Registration Information:
NPI: 1700940129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
FLDN16541
Y1223G0001XDental Providers
Dentist
AZD05851

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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