DR. Nadine Nitisusanta, DMD

NPI #1518334044 in Ocoee, Florida

Provider Information

NPI Number
1518334044
Entity Type
Individual
Name
DR. Nadine Nitisusanta, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Sep 1, 2015
Last Updated
Sep 1, 2015

Practice Location

Address
2704 REW CIR STE 103
City
Ocoee
State
Florida
ZIP Code
34761-2994
Phone
(407) 877-9003

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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