Individual
DAMIEN WILLIAM NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2133 PEPPERRELL ST BLDG 3352, LACKLAND AFB, TX 78236-5313
(210) 292-6258
Mailing address
28130 N DARRELL RD, WAUCONDA, IL 60084-9723
(773) 615-0133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002658-15
WI
Other
Enumeration date
03/01/2021
Last updated
07/14/2025
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