Individual
DR. PETER S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5750 W THUNDERBIRD RD STE H850, GLENDALE, AZ 85306-4694
(602) 938-0880
(602) 547-0528
Mailing address
5750 W THUNDERBIRD RD STE H850, GLENDALE, AZ 85306-4694
(402) 990-3457
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9095
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
AB3433531218
NY
Other
Enumeration date
12/25/2009
Last updated
04/12/2024
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