Individual
EDWARD WILLIAM NESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
106 W. MAIN ST., TRINITY, TX 75862-2629
(936) 594-2076
Mailing address
PO BOX 2629, 106 W. MAIN ST., TRINITY, TX 75862-2629
(936) 594-2076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11611
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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