NISSA OPHASO

SCHAUMBURG, IL
NPI1609280395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD4109)
Enumeration Date2014-06-20
Last Update Date2014-06-20
Business Address
-- NISSA OPHASO DMD
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4144
Phone number: 847-701-1455
Mailing Address
-- NISSA OPHASO DMD
1701 JOE HARVEY BLVD STE B
HOBBS, NM 88240
Phone number: 847-701-1455
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