Individual
DR. DAVID CHARLES NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1180 S CENTURY AVE STE C, WAUNAKEE, WI 53597-1827
(608) 997-4002
(608) 997-4004
Mailing address
1180 S CENTURY AVE STE C, WAUNAKEE, WI 53597-1827
(608) 997-4002
(608) 997-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019020561
IL
1223G0001X
General Practice Dentistry
Primary
7163-15
WI
Other
Enumeration date
03/19/2007
Last updated
04/19/2024
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