Individual
DR. NICHOLAS W. MISISCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1569 SW NANCY WAY, LOWER LEVEL, BEND, OR 97702-3234
(541) 317-0255
(541) 317-0355
Mailing address
1569 SW NANCY WAY, LOWER LEVEL, BEND, OR 97702-3234
(541) 317-0255
(541) 317-0355
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7709
OR
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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