Justin M. Nichols, DDS Valid NPI
Individual provider · Dentist · Sioux Falls, SD
- NPI
- 1881783595
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D0522 (SD)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-08
Practice location
4904 S Minnesota Ave
Sioux Falls, SD 57108-2864
(605) 335-8640