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Organization

NELSON DENTAL A PROFESSIONAL CORPORATION

Active
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Organization

NELSON DENTAL A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHARI NELSON D.D.S. (PRESIDENT)
(916) 427-1101
Entity
Organization

Contact information

Practice address
7400 GREENHAVEN DR, SUITE 100, SACRAMENTO, CA 95831-5129
(916) 427-1101
(916) 427-8671
Mailing address
7400 GREENHAVEN DR, SUITE 100, SACRAMENTO, CA 95831-5129
(916) 427-1101
(916) 427-8671

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47762
CA

Other

Enumeration date
08/08/2006
Last updated
08/22/2020
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