Individual
DR. RAECHEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3409 W 12600 S, SUITE #220, RIVERTON, UT 84065-7260
(801) 542-0267
(801) 542-0629
Mailing address
3409 W 12600 S, SUITE #220, RIVERTON, UT 84065-7260
(801) 542-0267
(801) 542-0629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7418970-9922
UT
Other
Enumeration date
05/26/2009
Last updated
10/20/2010
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