Organization
IMLAY CITY DENTAL, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY D. NICHOLS D.D.S. (DENTIST)
(810) 724-8080
Entity
Organization
Contact information
Practice address
216 E 3RD ST, IMLAY CITY, MI 48444-1322
(810) 724-8080
(810) 724-3309
Mailing address
216 E 3RD ST, IMLAY CITY, MI 48444-1322
(810) 724-8080
(810) 724-3309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D800575
MI
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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