KEVIN T. NELSON

PEORIA, IL
NPI1396810123
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
DR. KEVIN T. NELSON D.D.S.
1116 W LOUCKS AVE
PEORIA, IL 61604-2677
Phone number: 309-688-2112
Mailing Address
DR. KEVIN T. NELSON D.D.S.
1116 W LOUCKS AVE
PEORIA, IL 61604-2677
Phone number: 309-688-2112