Individual
DR. KAYLA ROSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. D. S.
Contact information
Practice address
4000 17TH AVE S, GRAND FORKS, ND 58201-3905
(701) 775-0641
(701) 746-9328
Mailing address
4000 17TH AVE S, GRAND FORKS, ND 58201-3905
(701) 775-0641
(701) 746-9328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2511
ND
122300000X
Dentist
D15076
MN
Other
Enumeration date
05/30/2024
Last updated
06/22/2024
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