| NPI | 1669943627 |
|---|---|
| Doing Business As | NELSON DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANTHONY NELSON Dentist 318-512-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |