Individual
DR. HENRY D. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
216 E 3RD ST, IMLAY CITY, MI 48444-1322
(810) 724-8080
(810) 724-3309
Mailing address
1401 CEDAR DR, IMLAY CITY, MI 48444-8961
(810) 724-8223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12142
MI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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