Organization
SUMNER SMILES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKOLINA P NIELSEN DMD (DENTIST)
(253) 863-4400
Entity
Organization
Contact information
Practice address
1211 MAIN ST, SUMNER, WA 98390-1416
(253) 863-4400
(253) 863-2336
Mailing address
1211 MAIN ST, SUMNER, WA 98390-1416
(253) 863-4400
(253) 863-2336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60146593
WA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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