Individual
DR. BRADLEY J. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
363 5TH AVE N, BAYPORT, MN 55003-1232
(651) 439-4115
(651) 439-4093
Mailing address
363 5TH AVE N, BAYPORT, MN 55003-1232
(651) 439-4115
(651) 439-4093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9832
MN
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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