Individual
DR. AMJAD NAZZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2971 CHAPEL VALLEY RD, FITCHBURG, WI 53711
(608) 443-4940
Mailing address
2971 CHAPEL VALLEY RD, FITCHBURG, WI 53711-7420
(213) 271-4720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1001063-15
WI
Other
Enumeration date
06/06/2012
Last updated
12/28/2018
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