G P Nelson DDS PA

NPI #1154333250 in Windom, Minnesota

Provider Information

NPI Number: 1154333250
Entity Type: Organization
Organization Name: G P Nelson DDS PA
Primary Specialty: Dentist
Enumeration Date: Aug 13, 2006
Last Updated: Apr 25, 2011

Practice Location

Address: 1020 FOURTH AVENUE
City: Windom
State: Minnesota
ZIP Code: 56101-1440
Phone: (507) 831-3717

Authorized Official

Name: MRS. ADALINE M ROSSOW, RDA CDA
Title: OFFICE MANAGER
Phone: (507) 831-4714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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