Organization
PAUL E. NELSON D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E. NELSON D.D.S. (OWNER/DENTIST)
(651) 777-3009
Entity
Organization
Contact information
Practice address
2377 MARGARET ST N, NORTH SAINT PAUL, MN 55109-3019
(651) 777-3009
(651) 777-0307
Mailing address
2377 MARGARET ST N, NORTH SAINT PAUL, MN 55109-3019
(651) 777-3009
(651) 777-0307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693517600
—
MN
Enumeration date
06/30/2008
Last updated
06/30/2008
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