Jonathan Louis Nicozisis, DMD, MS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Princeton, NJ

NPI

1356771687

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

22DI02077500 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2013-11-22

Last updated

2013-11-22