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Individual

DR. DAVID L N IELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6222 W DIMOND BLVD, ANCHORAGE, AK 99502-4006
(907) 244-4125
Mailing address
6222 W DIMOND BLVD, ANCHORAGE, AK 99502-4006
(907) 441-6002

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA659
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD6590
AK
Enumeration date
07/21/2006
Last updated
03/11/2016
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