Organization
KRISTIN F. NICKODEMUS, DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN FRANCINE NICKODEMUS DDS (DENTIST)
(734) 769-4121
Entity
Organization
Contact information
Practice address
1795 W STADIUM BLVD, ANN ARBOR, MI 48103-5290
(734) 769-4121
(734) 662-4156
Mailing address
1795 W STADIUM BLVD, ANN ARBOR, MI 48103-5290
(734) 769-4121
(734) 662-4156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017670
MI
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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