Individual
DR. JAZMIN SOPHIA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
(406) 258-4732
Mailing address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
(406) 258-4732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9545
OR
122300000X
Dentist
Primary
DEN-DEN-LIC-5964
MT
Other
Enumeration date
12/18/2010
Last updated
05/05/2014
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