Individual
DR. JASON B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2074 E SOUTHERN AVE, B102, TEMPE, AZ 85282-7580
(480) 838-3355
(480) 838-0695
Mailing address
2074 E SOUTHERN AVE, B102, TEMPE, AZ 85282-7580
(480) 838-3355
(480) 838-0695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8067
AZ
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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