Organization
RISSER ENDODONTICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ELLIOT RISSER DDS MSD (OWNER)
(574) 232-5866
Entity
Organization
Contact information
Practice address
225 N NOTRE DAME AVE, SUITE 2, SOUTH BEND, IN 46617
(574) 232-5866
(574) 287-8891
Mailing address
225 N NOTRE DAME AVE, SUITE 2, SOUTH BEND, IN 46617
(574) 232-5866
(574) 287-8891
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12010063A
IN
Other
Enumeration date
09/07/2006
Last updated
03/23/2009
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