Individual
DR. KEVIN TED NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
775 E HOLLAND AVE STE 201, SPOKANE, WA 99218-5016
(509) 464-2391
(509) 232-0555
Mailing address
775 E HOLLAND AVE STE 201, SPOKANE, WA 99218-5016
(509) 464-2391
(509) 232-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2009015337
MO
1223G0001X
General Practice Dentistry
Primary
DE60690890
WA
Other
Enumeration date
07/09/2009
Last updated
11/25/2024
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