Keith T. Nelson, DDS INC

NPI #1184762643 in Berkeley, California

Provider Information

NPI Number: 1184762643
Entity Type: Organization
Organization Name: Keith T. Nelson, DDS INC
Primary Specialty: Dentist
Enumeration Date: Feb 4, 2007
Last Updated: Mar 28, 2009

Practice Location

Address: 3031 TELEGRAPH AVE
Address 2: SUITE 234
City: Berkeley
State: California
ZIP Code: 94705-2051
Phone: (510) 548-9114

Authorized Official

Name: MICHELE DECARLO
Title: OFFICE MANAGER
Phone: (510) 548-9114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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