DR. Matthew A Nissenbaum, D.D.S.
NPI #1528192713 in Lindenhurst, New York
Provider Information
- NPI Number
- 1528192713
- Entity Type
- Individual
- Name
- DR. Matthew A Nissenbaum, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S.
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 221 N WELLWOOD AVE
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-3706
- Phone
- (631) 225-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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