B.c. Nelson, D.d.s. | |
470 E. Washington St. Stayon OR 97383-1837 | |
(503) 769-5210 | |
(503) 769-9172 |
Full Name | B.c. Nelson, D.d.s. |
---|---|
Speciality | Dentist |
Location | 470 E. Washington St., Stayon, Oregon |
Authorized Official Name and Position | B.c. Nelson (OWNER) |
Authorized Official Contact | 5037695210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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B.c. Nelson, D.d.s. 470 E. Washington St. Stayon OR 97383-1837 Ph: (503) 769-5210 | B.c. Nelson, D.d.s. 470 E. Washington St. Stayon OR 97383-1837 Ph: (503) 769-5210 |
NPI Number | 1053679316 |
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Provider Enumeration Date | 04/24/2012 |
Last Update Date | 04/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053679316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D6700 (Oregon) | Primary |