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Individual

DR. NATHAN EZRA SWENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
530 MELARKEY ST, SUITE #9, WINNEMUCCA, NV 89445-3178
(775) 623-5093
Mailing address
530 MELARKEY ST, SUITE #9, WINNEMUCCA, NV 89445-3178
(775) 623-5093

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6454
NV

Other

Enumeration date
02/19/2013
Last updated
05/08/2014
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