Individual provider · Type 1 NPI
Nicole Julia Siara-Olds, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Wayne, MI
Practice location
38110 Michigan Ave
Wayne, MI 48184-2842
Fax (734) 728-1762
Mailing address
4232 Thomas Ave
Berkley, MI 48072-3170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901018908 (MI) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2901018908 (MI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
4 other providers at this address
About NPI 1962648618
Nicole Julia Siara-Olds, DDS, M.S.'s National Provider Identifier is 1962648618, issued on Dec 31, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wayne, MI. The record was last updated on Dec 31, 2008.