DR. Holly Nichols, DMD

NPI #1568539617 in The Dalles, Oregon

Provider Information

NPI Number: 1568539617
Entity Type: Individual
Name: DR. Holly Nichols, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 308 E 4TH ST
City: The Dalles
State: Oregon
ZIP Code: 97058-2208
Phone: (541) 296-9415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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