Organization
KRISTIN A NELSON DDS PA
Active
Other names
Summit Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN ANN NELSON DDS (OWNER)
(651) 322-7373
Entity
Organization
Contact information
Practice address
15031 CRESTONE AVE W, ROSEMOUNT, MN 55068-4586
(651) 322-7373
Mailing address
15031 CRESTONE AVE W, ROSEMOUNT, MN 55068-4586
(651) 322-7373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D12088
MN
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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