Individual
DR. LAUREN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7707 E 111TH ST STE 105, TULSA, OK 74133
(918) 299-7750
Mailing address
7714 S KINGSTON AVE, TULSA, OK 74136-8509
(918) 520-5309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7062
OK
Other
Enumeration date
05/30/2018
Last updated
06/01/2018
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