Organization
MARK NIELSEN DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW NIELSEN DDS (OWNER)
(402) 289-2036
Entity
Organization
Contact information
Practice address
1908 N 203RD ST, ELKHORN, NE 68022-2889
(402) 289-2036
(402) 289-5694
Mailing address
1908 N 203RD ST, ELKHORN, NE 68022-2889
(402) 289-2036
(402) 289-5694
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6379
NE
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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