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1396149183
BRENT E. NELSEN DMD, LLC
DERBY, KS
NPI
1396149183
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Entity Type
Organization
Authorized Contact
BRENT EDWARD NELSEN
Owner
316-789-9999
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KS 7193)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
BRENT E. NELSEN DMD, LLC
1120 N ROCK RD
DERBY, KS 67037-3584
Phone number: 316-789-9999
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Mailing Address
BRENT E. NELSEN DMD, LLC
1120 N ROCK RD
DERBY, KS 67037-3584
Phone number: 316-789-9999
Copy
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