Individual
BRANDON LARS NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1297 MAIN ST., SUITE3, WINDSOR, CO 80550
(970) 686-7775
(970) 686-5892
Mailing address
1297 MAIN ST., SUITE3, WINDSOR, CO 80550
(970) 686-7775
(970) 686-5892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10451
CO
Other
Enumeration date
06/07/2011
Last updated
11/04/2015
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