Individual
DR. NANCY MIDDLE INTRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5901 E 7TH ST, (12/160), LONG BEACH, CA 90822-5201
(562) 826-8000
(562) 826-8007
Mailing address
5901 E 7TH ST, 12/160, LONG BEACH, CA 90822-5201
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
044564-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
51437
CA
Other
Enumeration date
08/12/2006
Last updated
07/11/2007
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