Joel Justin Nichols, D.M.D., M.H.A.

NPI #1265714174 in Youngtown, Arizona

Provider Information

NPI Number: 1265714174
Entity Type: Individual
Name: Joel Justin Nichols, D.M.D., M.H.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D., M.H.A.
Enumeration Date: Sep 16, 2011
Last Updated: Sep 16, 2011

Practice Location

Address: 11132 W CALIFORNIA AVENUE
City: Youngtown
State: Arizona
ZIP Code: 85363-1201
Phone: (623) 565-2446

Specialties & Taxonomy Codes

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

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