ORISSA NITIBHON

MENOMONIE, WI
NPI1902672066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: WI  6001518-15)
Enumeration Date2023-11-29
Last Update Date2025-01-23
Business Address
DR. ORISSA NITIBHON DMD
460 CRESCENT ST
MENOMONIE, WI 54751-1827
Phone number: 715-972-9975
Mailing Address
DR. ORISSA NITIBHON DMD
1260 MILTON AVE
JANESVILLE, WI 53545-1889
Phone number: 608-757-0057
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