Individual
DR. ERIC REID NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3035 S ELLSWORTH RD, 138, MESA, AZ 85212-2160
(480) 357-9442
Mailing address
3035 S ELLSWORTH RD, MESA, AZ 85212-2160
(480) 357-9444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6105
AZ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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