Richard Hunter Nellson, DDS Valid NPI

Individual provider · Dentist · Portland, ME

NPI

1225101702

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2765 (ME)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-15

Last updated

2007-07-08