MICHAEL D NELSON

GRANGEVILLE, ID
NPI1417136474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4201)
Additional Taxonomies122300000X Dentist
(Licence: CA  55899)
Enumeration Date2007-10-26
Last Update Date2009-02-18
Business Address
Dr. MICHAEL D NELSON D.D.S.
412 W MAIN ST
GRANGEVILLE, ID 83530-1447
Phone number: 208-983-2422
Mailing Address
Dr. MICHAEL D NELSON D.D.S.
412 W MAIN ST
GRANGEVILLE, ID 83530-1447
Phone number: 208-983-2422
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