Individual
KELVIN Q NISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
352 E RIVERSIDE DRIVE, SUITE C3, ST GEORGE, UT 84790
(435) 673-1360
(435) 673-0895
Mailing address
352 E RIVERSIDE DRIVE, SUITE C3, ST GEORGE, UT 84790
(435) 673-1360
(435) 673-0895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
142788
UT
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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