Individual
SCOTT ELLIOT RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
225 N NOTRE DAME AVE, SOUTH BEND, IN 46617
(574) 232-5866
(574) 287-8891
Mailing address
225 N NOTRE DAME AVE, SOUTH BEND, IN 46617
(574) 232-5866
(574) 287-8891
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12010063
IN
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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