Individual
TANIA NELSON-CHRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
8775 SIERRA COLLEGE BLVD STE 350, ROSEVILLE, CA 95661-5986
(916) 262-7963
Mailing address
3671 CAMINO CIELO, LINCOLN, CA 95648-7951
(443) 519-6540
(916) 244-2714
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
59442
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2007
Last updated
04/07/2025
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