Kevin P Nielsen, DDS

NPI #1194958975 in Lacey, Washington

Provider Information

NPI Number: 1194958975
Entity Type: Individual
Name: Kevin P Nielsen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 27, 2009
Last Updated: Aug 27, 2009

Practice Location

Address: 719 SLEATER KINNEY RD SE STE 130
City: Lacey
State: Washington
ZIP Code: 98503-1138
Phone: (360) 455-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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