Individual
DR. DUSTIN AMES NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1941 HUNTINGTON DR STE D, SOUTH PASADENA, CA 91030-5601
(626) 577-1819
Mailing address
315 WAVERLY DR, PASADENA, CA 91105-1819
(626) 533-3398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24242
CA
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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