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Individual

DR. DANIEL WAYNE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
305 SOUTH DR, SUITE 8, MOUNTAIN VIEW, CA 94040-4200
(650) 967-1740
(650) 967-3767
Mailing address
305 SOUTH DR, SUITE 8, MOUNTAIN VIEW, CA 94040-4200
(650) 967-1740
(650) 967-3767

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
57808
CA

Other

Enumeration date
10/29/2008
Last updated
11/22/2011
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