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Organization

DR DANA M NICHOLS AND ASSOC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANA M NICHOLS DMD (PRESIDENT OWNER)
(937) 845-9422
Entity
Organization

Contact information

Practice address
203 E LAKE AVE, NEW CARLISLE, OH 45344
(937) 845-9422
(937) 845-8280
Mailing address
PO BOX 66, 203 E LAKE AVE, NEW CARLISLE, OH 45344
(937) 845-9422
(937) 845-8280

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21982
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2504267
OH
Enumeration date
07/20/2006
Last updated
08/22/2020
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