Individual
NOAH NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3401 S MCCLINTOCK DR, TEMPE, AZ 85282-5820
(480) 339-3535
Mailing address
2075 RAINDANCE CT, GRAND JUNCTION, CO 81507-8788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012288
AZ
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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