William Patrick Misischia, D.M.D. Valid NPI

Individual provider · Periodontics · Boulder, CO

NPI

1942588397

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

9827 (CO)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-08-02

Last updated

2024-11-05