DR. Orissa Nitibhon, DMD

NPI #1902672066 in Menomonie, Wisconsin

Provider Information

NPI Number: 1902672066
Entity Type: Individual
Name: DR. Orissa Nitibhon, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Nov 29, 2023
Last Updated: Jan 23, 2025

Practice Location

Address: 460 CRESCENT ST
City: Menomonie
State: Wisconsin
ZIP Code: 54751-1827
Phone: (715) 972-9975

Specialties & Taxonomy Codes

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

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