Search › Arizona › 122300000X
Kip Nielsen, D.M.D
NPI 1649646795 · on the registry since 2015
Practice
- Address
- 17061 N Avenue Of The Arts
Ste 101
Suprise, AZ 85378 - Phone
- (623) 246-5025
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- WA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona