DENNIS EARL NIELSON

MERIDIAN, ID
NPI1104974401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-498)
Enumeration Date2007-01-05
Last Update Date2007-10-17
Business Address
Dr. DENNIS EARL NIELSON O.D.
1012 N MAIN ST
MERIDIAN, ID 83642-2304
Phone number: 208-888-5252
Mailing Address
Dr. DENNIS EARL NIELSON O.D.
2804 S GOSHEN WAY
BOISE, ID 83709-8570
Phone number: 208-322-6161
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