| Keith T. Nelson, Dds Inc | |
|
3031 Telegraph Ave Suite 234 Berkeley CA 94705-2051 | |
| (510) 548-9114 | |
| (510) 548-8046 |
| Full Name | Keith T. Nelson, Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3031 Telegraph Ave, Berkeley, California |
| Authorized Official Name and Position | Michele Decarlo (OFFICE MANAGER) |
| Authorized Official Contact | 5105489114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith T. Nelson, Dds Inc 3031 Telegraph Ave Suite 234 Berkeley CA 94705-2051 Ph: (510) 548-9114 | Keith T. Nelson, Dds Inc 3031 Telegraph Ave Suite 234 Berkeley CA 94705-2051 Ph: (510) 548-9114 |
| NPI Number | 1184762643 |
|---|---|
| Provider Enumeration Date | 02/04/2007 |
| Last Update Date | 03/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184762643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28772 (California) | Primary |
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