| Peter C Nissler Dds A Dental Corp | |
|
5400 Balboa Blvd Ste 229 Encino CA 91316-5213 | |
| (818) 981-7375 | |
| (818) 995-8274 |
| Full Name | Peter C Nissler Dds A Dental Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 5400 Balboa Blvd Ste 229, Encino, California |
| Authorized Official Name and Position | Peter Christian Nissler (OWNER/DENTIST) |
| Authorized Official Contact | 8189817375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter C Nissler Dds A Dental Corp 5400 Balboa Blvd Ste 229 Encino CA 91316-5213 Ph: (818) 981-7375 | Peter C Nissler Dds A Dental Corp 5400 Balboa Blvd Ste 229 Encino CA 91316-5213 Ph: (818) 981-7375 |
| NPI Number | 1417349143 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417349143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 19789 (California) | Primary |
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