| NPI | 1598929143 |
|---|---|
| Other Name | J CODY NIELSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 29379) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ 7543) |
| 1223G0001X Dentist, General Practice (Licence: TX 29379) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-01-07 |