NPI 1043929185

Nathan Nissani, DDS

Practitioner Dentist La Puente, CA

Practice location

Address: 864 N Hacienda Blvd, La Puente, CA 91744-2847
Phone: (310) 720-4070
Mailing address: 2160 Century Park E, Los Angeles, CA 90067-2244

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 107387 (CA)

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Registry record

NPI: 1043929185
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2022
Record last updated: 17 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.