DR. Dane Nelson, D.D.S.
NPI #1629427182 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1629427182
- Entity Type
- Individual
- Name
- DR. Dane Nelson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Jun 6, 2016
Practice Location
- Address
- 2410 SAMPSON ST
- Address 2
- CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088-2942
- Phone
- (651) 226-3562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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