LYLE WILFRED NELSON

VANCOUVER, WA
NPI1801919527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA  DE00007605)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Dr. LYLE WILFRED NELSON M.D.,D.M.D.
3215 SE 192ND AVE SUITE 112
VANCOUVER, WA 98683-1469
Phone number: 360-256-7100
Mailing Address
Dr. LYLE WILFRED NELSON M.D.,D.M.D.
3215 SE 192ND AVE SUITE 112
VANCOUVER, WA 98683-1469
Phone number: 360-256-7100