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Organization
NISTA FAMILY DENTAL CENTER
Active
Organization
NISTA FAMILY DENTAL CENTER
Active
Other names
Nista Family Dental Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A NISTA DMD (OWNER)
(724) 733-3762
Entity
Organization
Contact information
Practice address
105 PFEFFER RD STE 2, EXPORT, PA 15632-2046
(724) 733-3762
(724) 325-8058
Mailing address
105 PFEFFER RD STE 2, EXPORT, PA 15632-2046
(724) 733-3762
(724) 325-8058
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS030346L
PA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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