Individual
DR. BRYCE JAY NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5430 TUTT BLVD, COLORADO SPRINGS, CO 80922-2515
(719) 380-0141
Mailing address
5324 PROMINENCE PT, COLORADO SPRINGS, CO 80923-4489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00203194
CO
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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