Dr. Holly J. Nichols, Dmd, PC

NPI #1700253622 in The Dalles, Oregon

Provider Information

NPI Number: 1700253622
Entity Type: Organization
Organization Name: Dr. Holly J. Nichols, Dmd, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 26, 2015
Last Updated: Aug 26, 2015

Practice Location

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

Authorized Official

Name: HOLLY J NICHOLS, DMD
Title: PRESIDENT
Phone: (541) 296-9415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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