DR. Russell J. Nichols II, DDS

NPI #1962423434 in Mount Pleasant, Iowa

Provider Information

NPI Number: 1962423434
Entity Type: Individual
Name: DR. Russell J. Nichols II, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 501 S WHITE ST
Address 2: STE. #25
City: Mount Pleasant
State: Iowa
ZIP Code: 52641-2600
Phone: (319) 385-6770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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