Individual
DR. RUSSELL J. NICHOLS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 S WHITE ST, STE. #25, MOUNT PLEASANT, IA 52641-2600
(319) 385-6770
Mailing address
1861 JEFFREY ST, IOWA CITY, IA 52246-4327
(319) 338-3391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IA6627
IA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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