KATELYN NICHOLS

SALEM, OR
NPI1073997086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D10277)
Additional Taxonomies1223D0001X Dentist Dental Public Health
(Licence: OR  D10277)
Enumeration Date2015-07-20
Last Update Date2022-03-21
Business Address
KATELYN NICHOLS
1880 LANCASTER DR NE STE 121
SALEM, OR 97305-1069
Phone number: 971-600-3498
Mailing Address
KATELYN NICHOLS
1880 LANCASTER DR NE STE 121
SALEM, OR 97305-1069
Phone number: 971-600-3498