DR. Jonathan M Nitisusanta, DDS
NPI #1134283252 in Ocoee, Florida
Provider Information
- NPI Number
- 1134283252
- Entity Type
- Individual
- Name
- DR. Jonathan M Nitisusanta, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Dec 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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