Individual
MR. BRENT J NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5731 SILVERSTONE TERRACE, SUITE 220, COLORADO SPRINGS, CO 80919
(719) 599-3999
(719) 599-4095
Mailing address
5731 SILVERSTONE TERRACE, SUITE 220, COLORADO SPRINGS, CO 80919
(719) 599-3999
(719) 599-4095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9891
CO
Other
Enumeration date
07/07/2008
Last updated
12/22/2022
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