Individual
DR. NICOLAS RYAN BISIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1564 N PEACE HAVEN RD, WINSTON SALEM, NC 27104-6475
(615) 337-6608
Mailing address
1564 N PEACE HAVEN RD, WINSTON SALEM, NC 27104-2944
(615) 337-6608
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13082
NC
Other
Enumeration date
11/22/2013
Last updated
10/30/2024
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