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1902672066
ORISSA NITIBHON
JANESVILLE, WI
NPI
1902672066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 6001518-15)
Enumeration Date
2023-11-29
Last Update Date
2024-07-16
Business Address
Dr. ORISSA NITIBHON DMD
1260 MILTON AVE
JANESVILLE, WI 53545-1889
Phone number: 608-757-0057
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Mailing Address
Dr. ORISSA NITIBHON DMD
1260 MILTON AVE
JANESVILLE, WI 53545-1889
Phone number: 608-757-0057
Copy
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