Individual
DR. GIRARD THOMAS NISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
89 PORTSMOUTH AVE, STRATHAM, NH 03885-2467
(603) 778-8181
(603) 772-4942
Mailing address
89 PORTSMOUTH AVE, STRATHAM, NH 03885-2467
(603) 778-8181
(603) 772-4942
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1030
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030
STATE LICENSE
NH
Enumeration date
05/25/2007
Last updated
07/08/2007
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