Mark Nielsen Dds, PC

NPI #1780075408 in Elkhorn, Nebraska

Provider Information

NPI Number: 1780075408
Entity Type: Organization
Organization Name: Mark Nielsen Dds, PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 17, 2015
Last Updated: Feb 17, 2015

Practice Location

Address: 1908 N 203RD ST
City: Elkhorn
State: Nebraska
ZIP Code: 68022-2889
Phone: (402) 289-2036

Authorized Official

Name: DR. MARK ANDREW NIELSEN, DDS
Title: OWNER
Phone: (402) 289-2036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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