Individual
DR. HOLLY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
308 E 4TH ST, THE DALLES, OR 97058-2208
(541) 296-9415
Mailing address
308 E 4TH ST, THE DALLES, OR 97058-2208
(541) 296-9415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7013
OR
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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