Brent E. Nelsen Dmd, LLC

NPI #1396149183 in Derby, Kansas

Provider Information

NPI Number: 1396149183
Entity Type: Organization
Organization Name: Brent E. Nelsen Dmd, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 22, 2014
Last Updated: Oct 22, 2014

Practice Location

Address: 1120 N ROCK RD
City: Derby
State: Kansas
ZIP Code: 67037-3584
Phone: (316) 789-9999

Authorized Official

Name: DR. BRENT EDWARD NELSEN, DMD
Title: OWNER
Phone: (316) 789-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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