Individual
EVAN PAUL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
910 16TH AVE N, WAHPETON, ND 58075-3217
(701) 541-3094
Mailing address
910 16TH AVE N, WAHPETON, ND 58075-3217
(701) 642-0087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2494
ND
Other
Enumeration date
05/10/2010
Last updated
10/03/2024
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