Organization
PETER S. NELSON, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER S NELSON DDS (OWNER)
(602) 938-0880
Entity
Organization
Contact information
Practice address
5750 W THUNDERBIRD RD, H850, GLENDALE, AZ 85306-4660
(602) 938-0880
(602) 547-0528
Mailing address
5750 W THUNDERBIRD RD, H850, GLENDALE, AZ 85306-4660
(602) 938-0880
(602) 547-0528
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D009095
AZ
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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