NPI | 1952721581 |
---|---|
Former Legal Business Name | NELSON FAMILY DENTISTRY, PC |
Entity Type | Organization |
Authorized Contact | JAMES A. NELSON Owner 701-222-4746 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-04-22 |
Last Update Date | 2015-12-23 |