Individual
KRISTIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
22855 BRAMBLETON PLZ, 200, ASHBURN, VA 20148-4870
(703) 327-1718
Mailing address
103 STONE POINT DR, 275, ANNAPOLIS, MD 21401-7087
(240) 449-5859
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414562
VA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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