Organization
THEODORE R. NELSON, DDS, PC
Active
Other names
Theodore R Nelson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE R. NELSON DDS (PRESIDENT CEO)
(978) 365-5302
Entity
Organization
Contact information
Practice address
387 STERLING ST, S. LANCASTER, MA 01561
(978) 365-5302
(978) 598-7072
Mailing address
PO BOX 607, S LANCASTER, MA 01561-0607
(978) 365-5302
(978) 598-7072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16384
MA
Other
Enumeration date
11/27/2006
Last updated
03/25/2016
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