Individual
DR. PAUL MICHAEL NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3440 W CACTUS RD, PHOENIX, AZ 85029-2238
(602) 942-2880
Mailing address
526 W BLUEFIELD AVE, PHOENIX, AZ 85023-6444
(602) 795-1120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6617
AZ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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