Individual
DR. COLE RAINIER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1957 FREMONT BLVD, SEASIDE, CA 93955-3132
(831) 296-1333
Mailing address
1957 FREMONT BLVD, SEASIDE, CA 93955-3132
(831) 296-1333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110077
CA
Other
Enumeration date
05/22/2023
Last updated
07/03/2024
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