Individual
HEIDI M. NICHOLS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1929 N. WASHINGTON ST., BISMARCK, ND 58507-7039
(701) 258-7900
(701) 250-0557
Mailing address
1929 N. WASHINGTON ST., PO BOX 7039, BISMARCK, ND 58507-7039
(701) 258-7900
(701) 250-0557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1963
ND
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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