GARY J NELSON

IDAHO FALLS, ID
NPI1700954518
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3631)
Enumeration Date2006-12-01
Last Update Date2007-07-08
Business Address
-- GARY J NELSON DMD
3350 S 15TH E
IDAHO FALLS, ID 83404-8321
Phone number: 208-522-4700
Mailing Address
-- GARY J NELSON DMD
3350 S 15TH E
IDAHO FALLS, ID 83404-8321
Phone number: 208-522-4700
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