Individual
DR. TODD E. NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1469 29TH ST, WEST DES MOINES, IA 50266-1302
(515) 223-6529
(515) 223-5448
Mailing address
1469 29TH ST, WEST DES MOINES, IA 50266-1302
(515) 223-6529
(515) 223-5448
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
2003003724
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08415
IA
Other
Enumeration date
06/15/2006
Last updated
03/12/2008
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