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Organization

NELSON DENTAL PC

Active
Parent organization
NELSON DENTAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
NELSON DENTAL
Authorized official
DR. EVAN PAUL NELSON DDS (DENTIST)
(701) 541-3094
Entity
Organization

Contact information

Practice address
910 16TH AVE N, WAHPETON, ND 58075-3217
(701) 642-0087
(701) 999-2151
Mailing address
910 16TH AVE N, WAHPETON, ND 58075-3217
(701) 642-0087
(701) 999-2151

Taxonomy

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

Other

Enumeration date
11/04/2024
Last updated
11/11/2024
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