Individual
DR. BC NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
470 E WASHINGTON ST, STAYTON, OR 97383-1837
(503) 769-5210
Mailing address
470 E WASHINGTON ST, STAYTON, OR 97383-1837
(503) 769-5210
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D6700
OR
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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