Individual
PHILIP NISHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 SUNHAVEN RD, DANVILLE, CA 94506-1901
(925) 683-4288
Mailing address
104 SUNHAVEN RD, DANVILLE, CA 94506-1901
(925) 683-4288
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23941
CA
Other
Enumeration date
01/04/2007
Last updated
03/11/2008
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