Organization
KEITH V NELSON DDS PC
Active
Other names
Signature Smiles Luxury Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH VICTOR NELSON DDS (PRESIDENT)
(801) 968-9147
Entity
Organization
Contact information
Practice address
6183 S PRAIRIE VIEW DR, SUITE 101, SALT LAKE CITY, UT 84129-3202
(801) 968-9147
(801) 966-2932
Mailing address
6183 S PRAIRIE VIEW DR, STE 101, SALT LAKE CITY, UT 84129-3202
(801) 968-9147
(801) 966-2932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5032263
UT
122300000X
Dentist
62277
CA
Other
Enumeration date
05/02/2007
Last updated
07/17/2013
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