| Zachary D Nelson Dmd Dental Corporation | |
|
950 Boardwalk Ste 104 San Marcos CA 92078-2600 | |
| (760) 290-3932 | |
| Not Available |
| Full Name | Zachary D Nelson Dmd Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 950 Boardwalk Ste 104, San Marcos, California |
| Authorized Official Name and Position | Zachary Nelson (OWNER) |
| Authorized Official Contact | 8015926777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary D Nelson Dmd Dental Corporation 950 Boardwalk Ste 104 San Marcos CA 92078-2600 Ph: (760) 290-3932 | Zachary D Nelson Dmd Dental Corporation 950 Boardwalk Ste 104 San Marcos CA 92078-2600 Ph: (760) 290-3932 |
| NPI Number | 1255854758 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255854758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 101240 (California) | Primary |
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