DR. Nicole Julia Siara-Olds, D.D.S., M.S.

NPI #1962648618 in Wayne, Michigan

Provider Information

NPI Number: 1962648618
Entity Type: Individual
Name: DR. Nicole Julia Siara-Olds, D.D.S., M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.D.S., M.S.
Enumeration Date: Dec 31, 2008
Last Updated: Dec 31, 2008

Practice Location

Address: 38110 MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-2842
Phone: (734) 728-1705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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