Nelson and Willis LLC

NPI #1225782261 in Salem, Oregon

Provider Information

NPI Number: 1225782261
Entity Type: Organization
Organization Name: Nelson and Willis LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 8, 2022
Last Updated: Feb 8, 2022

Practice Location

Address: 631 JASON ST NE STE 150
City: Salem
State: Oregon
ZIP Code: 97301-2318
Phone: (503) 364-3004

Authorized Official

Name: BROCK NELSON, DMD
Title: OWNER
Phone: (503) 364-3004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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