| NPI | 1427378108 |
|---|---|
| Other Name | KIP NIELSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 25461) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 25461) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2014-01-03 |