| NPI | 1952431868 |
|---|---|
| Former Legal Business Name | TINA H. NICHOLS, DDS, PA |
| Entity Type | Organization |
| Authorized Contact | TINA NICHOLS Owner/Dentist 501-312-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3311) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3435) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-04-25 |