JUSTIN RAY NELSON

SANDPOINT, ID
NPI1588230403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-5579)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE61164746)
Enumeration Date2021-06-01
Last Update Date2025-10-07
Business Address
JUSTIN RAY NELSON DMD
103 W SUPERIOR ST
SANDPOINT, ID 83864-1601
Phone number: 208-263-8514
Mailing Address
JUSTIN RAY NELSON DMD
103 W SUPERIOR ST
SANDPOINT, ID 83864-1601
Phone number: 208-263-8514