Individual
KEIRA LYNN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7225 OHMS LN STE 180, EDINA, MN 55439-2172
(952) 345-0290
(952) 920-0105
Mailing address
7225 OHMS LN STE 180, EDINA, MN 55439-2172
(952) 345-0290
(952) 920-0105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13450
MN
Other
Enumeration date
07/28/2014
Last updated
01/10/2023
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