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Organization
KEITH T. NELSON, DDS INC
Active
Organization
KEITH T. NELSON, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DECARLO (OFFICE MANAGER)
(510) 548-9114
Entity
Organization
Contact information
Practice address
3031 TELEGRAPH AVE, SUITE 234, BERKELEY, CA 94705-2051
(510) 548-9114
(510) 548-8046
Mailing address
3031 TELEGRAPH AVE, SUITE 234, BERKELEY, CA 94705-2051
(510) 548-9114
(510) 548-8046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28772
CA
Other
Enumeration date
02/04/2007
Last updated
03/28/2009
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