Organization
RICHARD D. NELSON, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D NELSON DDS (OWNER)
(563) 332-0415
Entity
Organization
Contact information
Practice address
2430 TECH DR STE A, BETTENDORF, IA 52722-3258
(563) 332-0415
(563) 332-2979
Mailing address
2430 TECH DR STE A, BETTENDORF, IA 52722-3258
(563) 332-0415
(563) 332-2979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6143
IA
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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