Individual
DR. ROBERT JOHN TISOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
820 KINGS HWY S, CHERRY HILL, NJ 08034-2520
(856) 428-8822
Mailing address
820 KINGS HWY S, CHERRY HILL, NJ 08034-2520
(856) 428-8822
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI00764600
NJ
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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