Individual
GARY LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
274 DELAWARE AVENUE, DELMAR, NY 12054
(518) 439-9994
(518) 439-4152
Mailing address
274 DELAWARE AVENUE, DELMAR, NY 12054
(518) 439-9994
(518) 439-4152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0293731
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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