Individual
MICHAEL J NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 DEAK DR, SMYRNA, DE 19977-1268
(302) 653-6661
(302) 653-0661
Mailing address
27 DEAK DR, SMYRNA, DE 19977-1268
(302) 653-6661
(302) 653-0661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12011123A
IN
1223G0001X
General Practice Dentistry
Primary
G1-0001264
DE
Other
Enumeration date
05/20/2008
Last updated
08/03/2010
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