RUSSELL DEWITT NICHOLS

ENTERPRISE, AL
NPI1780623843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  4810A1)
Enumeration Date2006-06-05
Last Update Date2008-04-08
Business Address
-- RUSSELL DEWITT NICHOLS D.M.D.
812 BOLL WEEVIL CIR
ENTERPRISE, AL 36330-2079
Phone number: 334-347-9283
Mailing Address
-- RUSSELL DEWITT NICHOLS D.M.D.
108 E KINGSWOOD DR
ENTERPRISE, AL 36330-4119
Phone number: 334-347-9283