NPI | 1609020684 |
---|---|
Doing Business As | NELSON ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MICHAEL FREDERIC NELSON Owner 702-433-0070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S383C) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S647) |
Enumeration Date | 2008-11-04 |
Last Update Date | 2008-11-04 |