Individual
DEWYUN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1153
(585) 243-7840
Mailing address
2055 E HENRIETTA RD, ROCHESTER, NY 14623-3949
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027439
NY
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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