Individual
DR. BRENDA LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6727 FLANDERS DRIVE STE 101, SAN DIEGO, CA 92121
(858) 784-0600
Mailing address
20436 SUNBRIGHT LANE, GERMANTOWN, MD 20874
(301) 515-1616
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
D10998
MN
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DDS105643
CA
Other
Enumeration date
01/26/2006
Last updated
06/03/2021
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