B.c. Nelson, D.d.s.

NPI 1053679316 - Dentist - 122300000X

NPI Details
NPI 1053679316
Enumeration Date 04/24/2012
Last Updated 04/24/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name B.C. B.C.
Position OWNER
Phone (503) 769-5210
Fax (503) 769-9172
Practice Location
470 E. WASHINGTON ST.
STAYON OR, 97383-1837, US
Phone (503) 769-5210
Fax (503) 769-9172
Business Location
470 E. WASHINGTON ST.
STAYON OR, 97383-1837, US
Phone (503) 769-5210
Fax (503) 769-9172
Toxanomy
Taxonomy Code 122300000X
License State Oregon
License Number D6700
Remove 1053679316 NPI Number
 

According to our database, B.c. Nelson, D.d.s. NPI is 1053679316, taxonomy code is 122300000X and license number is D6700, license state is located at Oregon. B.c. Nelson, D.d.s. physically located at 470 E. Washington St., Stayon OR, 97383-1837. NPI Number 1033115704 has the healthcare provider type.

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1053679316 NPI number is provided on an as is basis without warranty of any kind. 1053679316 is maintained by the National Plan & Provider Enumeration System. The contents of B.c. Nelson, D.d.s. are for informational purposes only.