Individual
GRANT DANIEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
324 W SUPERIOR ST STE 700, DULUTH, MN 55802-1721
(218) 722-7831
Mailing address
324 W SUPERIOR ST STE 700, DULUTH, MN 55802-1721
(218) 722-7831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11583
MN
Other
Enumeration date
09/28/2006
Last updated
07/09/2007
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