Individual
ASHLEY E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1631
(856) 939-5225
Mailing address
33 CHAUCER LN, MEDFORD, NJ 08055-3949
(609) 784-3961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02720800
NJ
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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