Individual
DR. DALE ARTHUR NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1811 ARMY BLVD BLDG 2018, FORT SAM HOUSTON, TX 78234-2686
(512) 665-7744
Mailing address
UNIT 28038, APO, AE 09112-8038
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1097
AK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34698
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5370-015
WI
Other
Enumeration date
05/11/2006
Last updated
10/31/2022
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