Keith T Nelson, DDS Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1912149410
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 28772 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-03-30
- Last updated
- 2009-03-30
Practice location
3031 Telegraph Ave, Ste 234
Berkeley, CA 94705-2051
(510) 548-9114