Individual
DORTHY MAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
330 EAST LASALLE AVE, BARRON, WI 54812
(715) 986-2020
(715) 986-2041
Mailing address
225 OSTERMANN DR, TURTLE LAKE, WI 54889-9191
(715) 986-2020
(715) 986-2041
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1001324-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33824200
—
WI
Enumeration date
09/16/2008
Last updated
09/16/2008
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