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Dr. Lyle Wilfred Nelson, MD,DMD
Oral and Maxillofacial Surgery (Dentist) in Vancouver, Washington
NPI 1801919527

Lyle Wilfred Nelson is a Oral and Maxillofacial Surgery (Dentist) based in Vancouver, WA and is specialized in Oral and Maxillofacial Surgery. Lyle Wilfred Nelson practices in Vancouver, WA and has the professional credentials of MD,DMD. The NPI Number for Lyle Wilfred Nelson is 1801919527 and holds a License No. DE00007605 (Washington).

The current practice location address for Lyle Wilfred Nelson is 3215 Se 192Nd Ave, Vancouver, WA and can be reached out via phone at 360-256-7100 and via fax at 360-256-8886.

Location: 3215 Se 192Nd Ave, Vancouver, WA, 98683-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801919527
Provider Name
Lyle Wilfred Nelson
Credential
MD,DMD
Provider Entity Type
Individual
Gender
Male
Address
3215 Se 192Nd Ave, Vancouver, WA, 98683-1469
Phone Number
360-256-7100
Fax Number
360-256-8886
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3215 Se 192Nd Ave
City
Vancouver
State
Washington
Zip
98683-1469
Phone Number
360-256-7100
Fax Number
360-256-8886
person
Provider Business Mailing Address Details
Address
3215 Se 192Nd Ave
City
Vancouver
State
Washington
Zip
98683-1469
Phone Number
360-256-7100
Fax Number
360-256-8886
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DE00007605 (Washington)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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