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1801019443
PHILIP MATTHEW NISCO
FOUNTAIN VALLEY, CA
NPI
1801019443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 032598)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. PHILIP MATTHEW NISCO DDS
17220 NEWHOPE ST STE 227
FOUNTAIN VALLEY, CA 92708-4272
Phone number: 714-979-1400
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Mailing Address
Dr. PHILIP MATTHEW NISCO DDS
17220 NEWHOPE ST STE 227
FOUNTAIN VALLEY, CA 92708-4272
Phone number: 714-979-1400
Copy
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