DR. Michael D Nelson, D.D.S.

NPI #1417136474 in Grangeville, Idaho

Provider Information

NPI Number: 1417136474
Entity Type: Individual
Name: DR. Michael D Nelson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 26, 2007
Last Updated: Feb 18, 2009

Practice Location

Address: 412 W MAIN ST
City: Grangeville
State: Idaho
ZIP Code: 83530-1447
Phone: (208) 983-2422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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