Individual
TIMOTHY CHARLES NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 150TH ST W, APPLE VALLEY, MN 55124-8981
(952) 432-4846
(952) 432-4101
Mailing address
201 150TH ST W, APPLE VALLEY, MN 55124-8981
(952) 432-4846
(952) 432-4101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9851
MN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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