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Mark Nizibian, D.D.S

NPI 1023386638 · on the registry since 2011 · sole proprietor

Practice

Address
1122 B St
Petaluma, CA 94952
Phone
(707) 763-1688
Fax
(707) 763-5152

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California