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Organization

LOUIS J RUSSO JR JONATHAN L NICOZISIS DMD MS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN LOUIS NICOZISIS DMD MS (PARTNER, OWNER)
(609) 924-3271
Entity
Organization

Contact information

Practice address
601 EWING ST, B 12, PRINCETON, NJ 08540-2757
(609) 924-3271
Mailing address
601 EWING ST, B 12, PRINCETON, NJ 08540-2757
(609) 924-3271

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI 20775
NJ

Other

Enumeration date
04/15/2007
Last updated
08/22/2020
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