Organization
NELSON NUNEZ DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON NUNEZ (OWNER)
(318) 317-7808
Entity
Organization
Contact information
Practice address
2494 AIRLINE DR STE 100, BOSSIER CITY, LA 71111-5841
(318) 317-7808
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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