Individual
JULIE NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, PHRDH
Contact information
Practice address
1826 S MERIDIAN AVE, COZAD, NE 69130-2725
(308) 784-3325
Mailing address
1826 S MERIDIAN AVE, COZAD, NE 69130-2725
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1272
NE
Other
Enumeration date
10/26/2012
Last updated
11/01/2013
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