Roni Nissan, DMD

NPI #1780897934 in Willow Grove, Pennsylvania

Provider Information

NPI Number: 1780897934
Entity Type: Individual
Name: Roni Nissan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3535 WELSH RD
City: Willow Grove
State: Pennsylvania
ZIP Code: 19090-3857
Phone: (215) 657-3770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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