Mark John Nelson DDS

NPI 1063400901 - Dentist - 1223G0001X

NPI Details
NPI 1063400901
Gender Male
Enumeration Date 10/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
14450 S ROBER TR
DAKOTA DENTAL AND IMPLANT CENTER
ROSEMOUNT MN, 55068, US
Phone (651) 423-1181
Fax
Business Location
14450 S ROBERT TRL
ROSEMOUNT MN, 55068-4952, US
Phone (651) 423-1181
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8675
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According to our database, Dr. Mark John Nelson DDS NPI is 1063400901, taxonomy code is 1223G0001X and license number is 8675, license state is located at Minnesota. Mark John Nelson DDS physically located at 14450 S Rober Tr, Rosemount MN, 55068. NPI Number Mark John Nelson DDS has the Individual type.

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1063400901 NPI number is provided on an as is basis without warranty of any kind. 1063400901 is maintained by the National Plan & Provider Enumeration System. The contents of Mark John Nelson DDS are for informational purposes only.