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1912149410
KEITH T NELSON
BERKELEY, CA
NPI
1912149410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 28772)
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
-- KEITH T NELSON DDS
3031 TELEGRAPH AVE STE 234
BERKELEY, CA 94705-2051
Phone number: 510-548-9114
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Mailing Address
-- KEITH T NELSON DDS
3031 TELEGRAPH AVE STE 234
BERKELEY, CA 94705-2051
Phone number: 510-548-9114
Copy
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