Individual
VERNE WILLIS BENJAMIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3257
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 234-3257
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2009018551
MO
1223P0221X
Pediatric Dentistry
D008156
AZ
Other
Enumeration date
04/01/2010
Last updated
03/25/2011
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