Brooke D Nichols, RDH, BS

NPI #1780004580 in Rifle, Colorado

Provider Information

NPI Number: 1780004580
Entity Type: Individual
Name: Brooke D Nichols, RDH, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH, BS
Enumeration Date: Apr 18, 2014
Last Updated: Apr 18, 2014

Practice Location

Address: 195 W 14TH
City: Rifle
State: Colorado
ZIP Code: 81650-4700
Phone: (970) 625-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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