Individual
DR. JONATHAN LOUIS NICOZISIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
601 EWING ST. B-12, PRINCETON, NJ 08540
(609) 924-3271
(609) 924-7098
Mailing address
601 EWING ST. B-12, PRINCETON, NJ 08540
(609) 924-3271
(609) 924-7098
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02077500
NJ
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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