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Individual

DR. DALE DONALDSON NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
910 NE MINNEHAHA ST, SUITE 12, VANCOUVER, WA 98665-8750
(360) 696-9461
(360) 699-7199
Mailing address
910 NE MINNEHAHA ST, SUITE 12, VANCOUVER, WA 98665-8750
(360) 696-9461
(360) 699-7199

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
37884
CA
1223G0001X
General Practice Dentistry
D6622
OR
1223G0001X
General Practice Dentistry
Primary
DE00006928
WA

Other

Enumeration date
10/20/2006
Last updated
07/08/2007
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