# DR. NIKOLINA NIELSEN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLOW SMILES DENTISTRY
- **Other names:** Willow Smiles Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871942169
- **Legal business name:** WILLOW SMILES DENTISTRY
- **Authorized official:** NIKOLINA NIELSEN DMD (DENTIST)
- **Authorized official phone:** (253) 864-0310

## Contact information

- **Practice address:** 3850 S MERIDIAN STE 5, PUYALLUP, WA 98373-3701
- **Practice address phone:** (253) 864-0310
- **Mailing address:** 3850 SO MERIDIAN \#5, PUYALLUP, WA 98373
- **Mailing address phone:** (253) 864-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60146593 | WA | Yes |

## Other

- **Enumeration date:** 06/07/2016
- **Last updated:** 06/07/2016