Organization
MATTHEW E NELSON DDS LTD
Active
Other names
Southtown Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
7101 E THOMAS RD, SCOTTSDALE, AZ 85251-6336
(480) 947-3004
Mailing address
7101 E THOMAS RD, SCOTTSDALE, AZ 85251-6336
(480) 947-3004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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