Organization · Type 2 NPI

Philip M. Nisco, D.d.s., Inc

Orthodontics and Dentofacial Orthopedics Dentistry · Fountain Valley, CA

NPI number 1194913673 Active

Practice location

17720 Newhope St, Suite #227
Fountain Valley, CA 92708

Fax (714) 979-1403

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	032598 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1194913673

Philip M. Nisco, D.d.s., Inc's National Provider Identifier is 1194913673, issued on Oct 9, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fountain Valley, CA. The record was last updated on Oct 7, 2015.