Organization
BLOOMINGTON DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS NEILSON DDS (OWNER)
(435) 674-9977
Entity
Organization
Contact information
Practice address
169 W 2710 SOUTH CIR, STE 102, ST GEORGE, UT 84790-7201
(435) 674-9977
Mailing address
169 W 2710 SOUTH CIR, STE 102, ST GEORGE, UT 84790-7201
(435) 674-9977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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