DR. Dale Charles Nickelsen, D.D.S.

NPI #1265748149 in Elgin, Illinois

Provider Information

NPI Number
1265748149
Entity Type
Individual
Name
DR. Dale Charles Nickelsen, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Aug 30, 2010
Last Updated
Aug 30, 2010

Practice Location

Address
860 SUMMIT ST
Address 2
STE 246
City
Elgin
ZIP Code
60120-5145
Phone
(847) 695-1693

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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