Individual
MARK W NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
336 228TH AVE NE, #300, SAMMAMISH, WA 98074
(425) 369-0366
(425) 369-2966
Mailing address
336 228TH AVE NE, SUITE 300, SAMMAMISH, WA 98074
(425) 369-0366
(425) 369-2966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008128
WA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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