| NPI | 1346916749 |
|---|---|
| Doing Business As | NELSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TASHA M MANGUM Office Manager 919-845-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-09-19 |