Individual
DR. KRISTIN ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 435-8525
Mailing address
50 W NICOLLET BLVD, BURNSVILLE, MN 55337-4524
(952) 435-8525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12088
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211900500
—
MN
Enumeration date
12/08/2006
Last updated
05/14/2009
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