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Organization

PETER C NISSLER DDS A DENTAL CORP

Active
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Organization

PETER C NISSLER DDS A DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER CHRISTIAN NISSLER DDS (OWNER/DENTIST)
(818) 981-7375
Entity
Organization

Contact information

Practice address
5400 BALBOA BLVD STE 229, ENCINO, CA 91316-5213
(818) 981-7375
(818) 995-8274
Mailing address
5400 BALBOA BLVD STE 229, ENCINO, CA 91316-5213
(818) 981-7375
(818) 995-8274

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
19789
CA

Other

Enumeration date
03/04/2015
Last updated
06/15/2016
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