Individual
RYAN M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
420 MAIN STREET, LISBON, ND 58054
(701) 683-7695
(701) 683-7698
Mailing address
PO BOX 1078, 420 MAIN STREET, LISBON, ND 58054
(701) 683-7695
(701) 683-7698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1948
ND
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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