Michael D Nelson D.D.S.

NPI 1417136474 - Dentist - 122300000X

NPI Details
NPI 1417136474
Gender Male
Enumeration Date 10/26/2007
Last Updated 02/18/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
412 W MAIN ST
GRANGEVILLE ID, 83530-1447, US
Phone (208) 983-2422
Fax (208) 983-3404
Business Location
412 W MAIN ST
GRANGEVILLE ID, 83530-1447, US
Phone (208) 983-2422
Fax (208) 983-3404
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 55899
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According to our database, Dr. Michael D Nelson D.D.S. NPI is 1417136474, taxonomy code is 122300000X and license number is 55899, license state is located at California. Michael D Nelson D.D.S. physically located at 412 W Main St, Grangeville ID, 83530-1447. NPI Number Michael D Nelson D.D.S. has the Individual type.

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1417136474 NPI number is provided on an as is basis without warranty of any kind. 1417136474 is maintained by the National Plan & Provider Enumeration System. The contents of Michael D Nelson D.D.S. are for informational purposes only.