Organization
TIMOTHY E NELSON DDS PS
Active
Organization
TIMOTHY E NELSON DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E NELSON DDS (CORPORATION OFFICER)
(360) 425-7220
Entity
Organization
Contact information
Practice address
855 11TH AVE, SUITE B, LONGVIEW, WA 98632-2461
(360) 425-7220
(360) 425-5045
Mailing address
855 11TH AVE, SUITE B, LONGVIEW, WA 98632-2461
(360) 425-7220
(360) 425-5045
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
02/03/2015
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