Organization
NELSON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY RAY NELSON DDS (DENTIST)
(318) 512-0942
Entity
Organization
Contact information
Practice address
1413 S 2ND ST, MONROE, LA 71202-2739
(318) 323-3162
Mailing address
1413 S 2ND ST, MONROE, LA 71202-2739
(318) 323-3162
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3444
LA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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