Individual
DR. RICHARD DALE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
552 S TRIMBLE RD, MANSFIELD, OH 44906-3418
(419) 756-0188
(419) 774-9671
Mailing address
1674 PIN OAK TRAIL, MANSFIELD, OH 44906-3652
(419) 774-0414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30014979
OH
Other
Enumeration date
08/22/2006
Last updated
07/31/2009
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