JUSTIN PISANO

OKLAHOMA CITY, OK
NPI1477927085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI  2901022858)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK  1318)
Enumeration Date2015-11-19
Last Update Date2021-12-08
Business Address
Dr. JUSTIN PISANO D.D.S.
429 NW 11TH ST APT 6
OKLAHOMA CITY, OK 73103-3927
Phone number: 734-604-1843
Mailing Address
Dr. JUSTIN PISANO D.D.S.
1942 SHERMAN ST SE
GRAND RAPIDS, MI 49506-2918
Phone number: 734-604-1843