Individual
DR. JEFFREY RAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1109 HIGHWAY 70 N, KINGSTON, OK 73439-8232
(580) 564-9994
Mailing address
PO BOX 1360, 1109 N HWY 70, KINGSTON, OK 73439-1360
(580) 564-9994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5238
OK
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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