DR. Mark Nissenbaum, DMD MDC FCDSA OMFS
NPI #1902897184 in Chestnut Hill, Massachusetts
Provider Information
- NPI Number
- 1902897184
- Entity Type
- Individual
- Name
- DR. Mark Nissenbaum, DMD MDC FCDSA OMFS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Oral & Maxillofacial Surgery
- Credential
- DMD MDC FCDSA OMFS
- Enumeration Date
- Nov 4, 2005
- Last Updated
- Feb 27, 2014
Practice Location
- Address
- 200 BOYLSTON ST
- Address 2
- SUITE 305
- City
- Chestnut Hill
- State
- Massachusetts
- ZIP Code
- 02467-2012
- Phone
- (617) 731-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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