Organization
DR. NIKOLINA NIELSEN
Active
Parent organization
WILLOW SMILES DENTISTRY
Other names
Willow Smiles Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW SMILES DENTISTRY
Authorized official
NIKOLINA NIELSEN DMD (DENTIST)
(253) 864-0310
Entity
Organization
Contact information
Practice address
3850 S MERIDIAN STE 5, PUYALLUP, WA 98373-3701
(253) 864-0310
Mailing address
3850 SO MERIDIAN #5, PUYALLUP, WA 98373
(253) 864-0310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60146593
WA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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