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Organization
TIM NICHOLS DDS INC
Active
Organization
TIM NICHOLS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM NICHOLS (OWNER)
(304) 822-4447
Entity
Organization
Contact information
Practice address
HC 63 BOX 3560, ROMNEY, WV 26757-9722
(304) 822-4447
(304) 822-7943
Mailing address
HC 63 BOX 3560, ROMNEY, WV 26757-9722
(304) 822-4447
(304) 822-7943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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