Mark W Nelson, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Hettinger, ND
- NPI
- 1124043583
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 1570 (ND)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-13
- Last updated
- 2015-10-09
Practice location
204 Highway 12 E
Hettinger, ND 58639-9687
(701) 567-4302