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Organization

RICHARD H. NELLSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD HUNTER NELLSON D.D.S. (OWNER)
12077733794
Entity
Organization

Contact information

Practice address
163 PLEASANT AVE, PORTLAND, ME 04103-3242
(207) 773-3794
(207) 772-1011
Mailing address
163 PLEASANT AVE, PORTLAND, ME 04103-3242
(207) 773-3794
(207) 772-1011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2765
ME

Other

Enumeration date
05/14/2007
Last updated
08/22/2020
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