# BRADLELY J. NELSON D.D.S. LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003023904
- **Authorized official:** DR. BRADLEY J NELSON D.D.S. (OWNER)
- **Authorized official phone:** (702) 734-8376

## Contact information

- **Practice address:** 860 E SAHARA AVE, \#2, LAS VEGAS, NV 89104-3032
- **Practice address phone:** (702) 734-8376
- **Practice address fax:** (702) 734-8520
- **Mailing address:** 860 E SAHARA AVE, \#2, LAS VEGAS, NV 89104-3032
- **Mailing address phone:** (702) 734-8376
- **Mailing address fax:** (702) 734-8520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 690 | NV | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 08/22/2020