DR. Ethan Blake Nelson, DDS

NPI #1033320833 in Edenton, North Carolina

Provider Information

NPI Number
1033320833
Entity Type
Individual
Name
DR. Ethan Blake Nelson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 24, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
103 MARK DR
ZIP Code
27932-1704
Phone
(252) 482-5131

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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