Individual
NIKOLINA PETRASEVIC NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1211 MAIN ST, SUMNER, WA 98390-1416
(253) 863-4400
(206) 768-5382
Mailing address
1660 S COLUMBIAN WAY, DENTAL CLINIC, SEATTLE, WA 98108-1532
(206) 764-2334
(206) 768-5382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60146593
WA
Other
Enumeration date
11/02/2009
Last updated
08/03/2020
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