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Individual
DR. THEODORE NMI ZISLIS
Active
Individual
DR. THEODORE NMI ZISLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6565
MD
1223G0001X
General Practice Dentistry
Primary
7915
AZ
1223G0001X
General Practice Dentistry
8123
NC
Other
Enumeration date
01/23/2006
Last updated
09/01/2010
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