| Nelson Dental LLC | |
|
1413 S 2nd St Monroe LA 71202-2739 | |
| (318) 323-3162 | |
| Not Available |
| Full Name | Nelson Dental LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1413 S 2nd St, Monroe, Louisiana |
| Authorized Official Name and Position | Anthony Ray Nelson (DENTIST) |
| Authorized Official Contact | 3185120942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Dental LLC 1413 S 2nd St Monroe LA 71202-2739 Ph: (318) 323-3162 | Nelson Dental LLC 1413 S 2nd St Monroe LA 71202-2739 Ph: (318) 323-3162 |
| NPI Number | 1831697978 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831697978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3444 (Louisiana) | Primary |
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