Individual
DR. STEPHEN GRIGSBY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 W MILL ST, BAYFIELD, CO 81122
(970) 884-9306
(970) 884-9675
Mailing address
P.O. BOX 389, BAYFIELD, CO 81122
(970) 884-9306
(970) 884-9675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
H-D-100898
CO
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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