Individual
DR. JONATHAN EUGENE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3700 S RUSSELL ST, STE. #116, MISSOULA, MT 59801-8574
(406) 542-3305
(406) 721-3226
Mailing address
3700 S RUSSELL ST, STE. #116, MISSOULA, MT 59801-8574
(406) 542-3305
(406) 721-3226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6667
MT
Other
Enumeration date
07/17/2013
Last updated
12/12/2016
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