Individual
DR. LOREN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1520 OSOLO RD, ELKHART, IN 46514-4122
(574) 262-9619
Mailing address
55326 FALLING WATER DR, ELKHART, IN 46514-7401
(574) 849-7971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012694A
IN
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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