| Nelson Family Dentistry | |
|
19221 108th Ave Se Suite #2 Renton WA 98055 | |
| (253) 852-0206 | |
| (253) 852-5361 |
| Full Name | Nelson Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 19221 108th Ave Se Suite #2, Renton, Washington |
| Authorized Official Name and Position | Jacy C Nelson (DENTIST) |
| Authorized Official Contact | 2538520206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Family Dentistry 19221 108th Ave Se Ste 2 Renton WA 98055-7369 Ph: (253) 852-0206 | Nelson Family Dentistry 19221 108th Ave Se Suite #2 Renton WA 98055 Ph: (253) 852-0206 |
| NPI Number | 1154878668 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154878668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE9342 (Washington) | Primary |
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