Nelson Alexander Johansen DDS

NPI 1043378177 - Dentist - 1223G0001X

NPI Details
NPI 1043378177
Gender Male
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1204 COTTONWOOD STREET
3
WOODLAND CA, 95695, US
Phone (530) 662-8736
Fax (530) 662-0127
Business Location
1204 COTTONWOOD STREET
3
WOODLAND CA, 95695, US
Phone (530) 662-8736
Fax (530) 662-8736
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 36772
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According to our database, Dr. Nelson Alexander Johansen DDS NPI is 1043378177, taxonomy code is 1223G0001X and license number is 36772, license state is located at California. Nelson Alexander Johansen DDS physically located at 1204 Cottonwood Street, Woodland CA, 95695. NPI Number Nelson Alexander Johansen DDS has the Individual type.

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1043378177 NPI number is provided on an as is basis without warranty of any kind. 1043378177 is maintained by the National Plan & Provider Enumeration System. The contents of Nelson Alexander Johansen DDS are for informational purposes only.