ETHAN BLAKE NELSON

EDENTON, NC
NPI1033320833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  8393)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Dr. ETHAN BLAKE NELSON DDS
103 MARK DR
EDENTON, NC 27932-1704
Phone number: 252-482-5131
Mailing Address
Dr. ETHAN BLAKE NELSON DDS
PO BOX 646
EDENTON, NC 27932-0646
Phone number: 252-482-5131