Individual
DR. DAVID NISENBOYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 PETTICOAT LN, WALNUT CREEK, CA 94596-5017
(916) 704-0974
Mailing address
130 PETTICOAT LN, WALNUT CREEK, CA 94596-5017
(916) 704-0974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63382
CA
Other
Enumeration date
10/01/2013
Last updated
12/30/2021
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