Individual
DR. STEVEN F NIELSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
371 W FIR ST, SHELLEY, ID 83274-1456
(208) 357-7611
(208) 357-1805
Mailing address
PO BOX 525, SHELLEY, ID 83274-0525
(208) 357-7611
(208) 357-1805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1756
ID
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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