Organization
GREELEY & NISTA ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE NISTA (ACCT)
30247547102
Entity
Organization
Contact information
Practice address
1405 SILVERSIDE RD, WILMINGTON, DE 19810-4445
(302) 475-4102
Mailing address
1405 SILVERSIDE RD, WILMINGTON, DE 19810-4445
(302) 475-4102
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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