Tina Marie Nissen, RDH
NPI #1255856043 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1255856043
- Entity Type
- Individual
- Name
- Tina Marie Nissen, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Aug 14, 2017
- Last Updated
- Aug 14, 2017
Practice Location
- Address
- 856 ARMOUR RD STE B
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-3976
- Phone
- (262) 569-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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