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Individual

DR. LIONEL MATTHEW NELSON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3325 DURHAM CHAPEL HILL BLVD, SUITE 303, DURHAM, NC 27707-6235
(919) 489-0497
(919) 493-2264
Mailing address
3325 DURHAM CHAPEL HILL BLVD, SUITE 303, DURHAM, NC 27707-6235
(919) 489-0497
(919) 493-2264

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7158
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8990145
NC
Enumeration date
01/01/2007
Last updated
03/10/2011
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