JONATHAN M NITISUSANTA, DDS

NPI: 1134283252 · Individual · Active

Primary Specialty

Dentist

Practice Location

2704 REW CIR
SUITE103
OCOEE, FL 34761-2994 Map ↗
Phone: 407-877-9003

All Specialties & Licenses

  • Dentist Primary (license: DN13138, FL)

NPI Registration

Enumerated: 2006-12-21

Last CMS Update: 2007-07-08