Organization
B.C. NELSON, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B.C. NELSON D.D.S. (OWNER)
(503) 769-5210
Entity
Organization
Contact information
Practice address
470 E. WASHINGTON ST., STAYON, OR 97383-1837
(503) 769-5210
(503) 769-9172
Mailing address
470 E. WASHINGTON ST., STAYON, OR 97383-1837
(503) 769-5210
(503) 769-9172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6700
OR
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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