DR. Jacy Craig Nelson, D.D.S.

NPI #1225015977 in Renton, Washington

Provider Information

NPI Number
1225015977
Entity Type
Individual
Name
DR. Jacy Craig Nelson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 23, 2005
Last Updated
Jul 21, 2016

Practice Location

Address
19221 108TH AVE SE
Address 2
SUITE 2
City
Renton
ZIP Code
98055-7369
Phone
(253) 852-0206

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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