Keith T Nelson, DDS

NPI #1912149410 in Berkeley, California

Provider Information

NPI Number: 1912149410
Entity Type: Individual
Name: Keith T Nelson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 30, 2009
Last Updated: Mar 30, 2009

Practice Location

Address: 3031 TELEGRAPH AVE
Address 2: STE 234
City: Berkeley
State: California
ZIP Code: 94705-2051
Phone: (510) 548-9114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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