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1821178765
ALEC CLARK NELSON
SANTA ROSA, CA
NPI
1821178765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 32882)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. ALEC CLARK NELSON DMD
855 FOUNTAIN GROVE PKWY SUITE 100
SANTA ROSA, CA 95403-5736
Phone number: 707-546-2829
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Mailing Address
Dr. ALEC CLARK NELSON DMD
855 FOUNTAIN GROVE PKWY SUITE 100
SANTA ROSA, CA 95403-5736
Phone number: 707-546-2829
Copy
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