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Individual

DR. CHRISTINA NISIVOCCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
7500 NW 5TH ST STE 103, PLANTATION, FL 33317-1612
(954) 581-0100
Mailing address
301 SW 1ST AVE APT 1602, FORT LAUDERDALE, FL 33301-4362
(973) 487-6142

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26365
FL

Other

Enumeration date
09/24/2021
Last updated
10/12/2021
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