| NPI | 1770296022 |
|---|---|
| Doing Business As | NELSON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVID NELSON Owner 530-999-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |