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Organization
KEITH V NELSON DDS PC
Active
Organization
KEITH V NELSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH V NELSON DDS (PRESIDENT)
(801) 556-8917
Entity
Organization
Contact information
Practice address
15022 MULBERRY DR, #F, WHITTIER, CA 90604-4445
(801) 556-8917
(801) 618-3913
Mailing address
21163 NEWPORT COAST DR, STE 211, NEWPORT COAST, CA 92657-1123
(801) 556-8917
(801) 618-3913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62277
CA
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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