Mark Nissenbaum
ActiveCalifornia license 49380
License
- Licensed by
- Dental Board of California
- License number
- 49380
- Status
- Active (Current)
- First issued
- July 24, 2002
- Expires
- March 31, 2028
- License holder
- Mark Nissenbaum
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
200 Boylston Street
Suite 305
Chestnut Hill, MA 02467
Suite 305
Chestnut Hill, MA 02467
Middlesex County