Individual
DR. BROCK TYLER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2701 STERNBERG DR, HAYS, KS 67601-2060
17856257969
(785) 625-4441
Mailing address
2701 STERNBERG DR, HAYS, KS 67601-2060
17856257969
(785) 625-4441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61436
KS
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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