DR. Mary Jocelyn Elyse M Nisnisan, DDS

NPI #1811619299 in Richmond, Texas

Provider Information

NPI Number: 1811619299
Entity Type: Individual
Name: DR. Mary Jocelyn Elyse M Nisnisan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 13, 2022
Last Updated: Sep 13, 2022

Practice Location

Address: 3415 FM 762 RD STE 150
City: Richmond
State: Texas
ZIP Code: 77469-5507
Phone: (832) 431-4316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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