Organization
A NELSON PROFESSIONAL CORPORATION
Active
Other names
The Dentist Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK L NELSON DDS (VICE PRESIDENT)
(708) 597-3531
Entity
Organization
Contact information
Practice address
6420 W 127TH ST, SUITE 102, PALOS HEIGHTS, IL 60463
(708) 597-3531
Mailing address
6420 W 127TH ST, SUITE 102, PALOS HEIGHTS, IL 60463
(708) 597-3531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023339
IL
1223G0001X
General Practice Dentistry
019024471
IL
Other
Enumeration date
03/30/2007
Last updated
07/07/2008
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