| Peter C. Nelson Dds, Inc. | |
|
1250 Peach St Ste L San Luis Obispo CA 93401-2875 | |
| (805) 544-1877 | |
| (805) 544-9026 |
| Full Name | Peter C. Nelson Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1250 Peach St Ste L, San Luis Obispo, California |
| Authorized Official Name and Position | Peter C. Nelson (OWNER) |
| Authorized Official Contact | 8055441877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter C. Nelson Dds, Inc. 1250 Peach St Ste L San Luis Obispo CA 93401-2875 Ph: (805) 544-1877 | Peter C. Nelson Dds, Inc. 1250 Peach St Ste L San Luis Obispo CA 93401-2875 Ph: (805) 544-1877 |
| NPI Number | 1770775975 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 09/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770775975 | NPI | - | NPPES |
| B21276 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21276 (California) | Primary |
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