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Individual

DR. WILLIAM DAVID NELSON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7575 FREDLE DR, SUITE 101, CONCORD TWP, OH 44077-9413
(440) 357-7575
Mailing address
7575 FREDLE DR, SUITE 101, CONCORD TWP, OH 44077-9413
(440) 357-7575

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18654
OH

Other

Enumeration date
11/22/2011
Last updated
12/27/2011
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