ORISSA NITIBHON

JANESVILLE, WI
NPI1902672066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6001518-15)
Enumeration Date2023-11-29
Last Update Date2024-07-16
Business Address
Dr. ORISSA NITIBHON DMD
1260 MILTON AVE
JANESVILLE, WI 53545-1889
Phone number: 608-757-0057
Mailing Address
Dr. ORISSA NITIBHON DMD
1260 MILTON AVE
JANESVILLE, WI 53545-1889
Phone number: 608-757-0057