Individual
DR. TERESA LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, FAGD
Contact information
Practice address
50 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
(406) 755-4166
(406) 755-4644
Mailing address
50 VILLAGE LOOP RD, KALISPELL, MT 59901-2793
(406) 755-4166
(406) 755-4644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1888
MT
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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