Jeffrey Lawrence Nelson DDS

NPI 1003814138 - Dentist - 122300000X

NPI Details
NPI 1003814138
Gender Male
Enumeration Date 07/12/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
344 PLACERVILLE DR
SUITE 19
PLACERVILLE CA, 95667-3920, US
Phone (530) 626-9127
Fax (530) 626-9419
Business Location
1861 HEATHER HILL RD
PLACERVILLE CA, 95667-3805, US
Phone (530) 622-7893
Fax (530) 622-2943
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 40098
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According to our database, Dr. Jeffrey Lawrence Nelson DDS NPI is 1003814138, taxonomy code is 122300000X and license number is 40098, license state is located at California. Jeffrey Lawrence Nelson DDS physically located at 344 Placerville Dr, Placerville CA, 95667-3920. NPI Number Jeffrey Lawrence Nelson DDS has the Individual type.

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1003814138 NPI number is provided on an as is basis without warranty of any kind. 1003814138 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Lawrence Nelson DDS are for informational purposes only.