Nelson Family Dentistry

NPI #1154878668 in Renton, Washington

Provider Information

NPI Number: 1154878668
Entity Type: Organization
Organization Name: Nelson Family Dentistry
Subpart: Yes (part of a larger organization)
Parent Organization: NELSON FAMILY DENTISRY
Primary Specialty: Dentist
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 19221 108TH AVE SE SUITE #2
City: Renton
State: Washington
ZIP Code: 98055
Phone: (253) 852-0206

Authorized Official

Name: DR. JACY C NELSON, DDS
Title: DENTIST
Phone: (253) 852-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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