Philip Nelson

NPI #1083768113 in Chicago, Illinois

Provider Information

NPI Number
1083768113
Entity Type
Individual
Name
Philip Nelson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6124 N OVERHILL AVE
ZIP Code
60631-3817
Phone
(773) 763-8202

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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