Individual
DR. RICHARD ROE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
24105 184TH AVE SE, COVINGTON, WA 98042-4896
(425) 433-6221
Mailing address
24105 184TH AVE SE, COVINGTON, WA 98042-4896
(425) 433-6221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00004238
WA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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