Scott Elliot Risser DDS MSD

NPI 1740365964 - Dentist - 1223E0200X

NPI Details
NPI 1740365964
Gender Male
Enumeration Date 10/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
225 N NOTRE DAME AVE
SOUTH BEND IN, 46617, US
Phone (574) 232-5866
Fax (574) 287-8891
Business Location
225 N NOTRE DAME AVE
SOUTH BEND IN, 46617, US
Phone (574) 232-5866
Fax (574) 287-8891
Toxanomy
Taxonomy Code 1223E0200X
License State Indiana
License Number 12010063
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According to our database, Scott Elliot Risser DDS MSD NPI is 1740365964, taxonomy code is 1223E0200X and license number is 12010063, license state is located at Indiana. Scott Elliot Risser DDS MSD physically located at 225 N Notre Dame Ave, South Bend IN, 46617. NPI Number Scott Elliot Risser DDS MSD has the Individual type.

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1740365964 NPI number is provided on an as is basis without warranty of any kind. 1740365964 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Elliot Risser DDS MSD are for informational purposes only.