Kristin F. Nickodemus, Dds, Plc

NPI #1215481155 in Ann Arbor, Michigan

Provider Information

NPI Number: 1215481155
Entity Type: Organization
Organization Name: Kristin F. Nickodemus, Dds, Plc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 9, 2016
Last Updated: Aug 9, 2016

Practice Location

Address: 1795 W STADIUM BLVD
City: Ann Arbor
State: Michigan
ZIP Code: 48103-5290
Phone: (734) 769-4121

Authorized Official

Name: DR. KRISTIN FRANCINE NICKODEMUS, DDS
Title: DENTIST
Phone: (734) 769-4121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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