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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