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1720208200
PETER B. NELSON
MIDDLETOWN, CT
NPI
1720208200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CT 004736)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
PETER B. NELSON D.D.S.
717 NEWFIELD ST
MIDDLETOWN, CT 06457-1815
Phone number: 860-347-1227
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Mailing Address
PETER B. NELSON D.D.S.
717 NEWFIELD ST
MIDDLETOWN, CT 06457-1815
Phone number: 860-347-1227
Copy
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