DR. Lorenzo Kidd Neilsen, D.D.S.

NPI #1003266966 in Lees Summit, Missouri

Provider Information

NPI Number: 1003266966
Entity Type: Individual
Name: DR. Lorenzo Kidd Neilsen, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 21, 2016
Last Updated: Aug 7, 2016

Practice Location

Address: 2033 SW STERLING DR
City: Lees Summit
State: Missouri
ZIP Code: 64081-4040
Phone: (801) 891-2043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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