DR. Jennie Elizabeth Nichols, D.D.S.

NPI #1629056635 in Medina, Ohio

Provider Information

NPI Number
1629056635
Entity Type
Individual
Name
DR. Jennie Elizabeth Nichols, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
243 S BROADWAY ST
City
Medina
State
Ohio
ZIP Code
44256-2601
Phone
(330) 725-4101

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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