Individual
TIFFANY LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
320 WEST MYRTLE ST, STE 100, DULUTH, MN 55811
(218) 491-8058
Mailing address
4325 GRAND AVE, APT 308, DULUTH, MN 55807-2730
(218) 628-7035
(218) 624-6594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14107
MN
Other
Enumeration date
09/05/2007
Last updated
12/04/2019
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