Individual
JASON NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDHAP
Contact information
Practice address
939 W 59TH ST, SAN BERNARDINO, CA 92407-2571
(808) 927-2910
Mailing address
939 W 59TH ST, SAN BERNARDINO, CA 92407-2571
(808) 927-2910
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
652
CA
Other
Enumeration date
05/15/2017
Last updated
07/21/2022
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