Individual
DR. JOHN ROBERT NESIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
3955 E EXPOSITION AVE STE 520, DENVER, CO 80209-5030
(303) 777-1603
(303) 777-1694
Mailing address
325 S WILLIAMS ST, DENVER, CO 80209-2636
(402) 730-5776
(303) 777-1694
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0060857
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020504
MI
Other
Enumeration date
07/05/2009
Last updated
02/22/2021
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