Individual
DR. MICHAEL C NELSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2372 MAIN ST, FERNDALE, WA 98248-9212
(360) 384-5902
Mailing address
2372 MAIN ST, FERNDALE, WA 98248-9212
(360) 384-5902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4656
WA
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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