License holder summary

PHILIP MATTHEW NISCO is a Dental - Additional Office licensed to practice in California. The address on file for PHILIP MATTHEW NISCO is 28200 HWY 189, STE 02-250 LAKE ARROWHEAD CA 92352. This licensed professional license is not current. The license was granted 07/26/1991 and expired on 09/30/2014.

California

Department of Consumer Affairs

PHILIP MATTHEW NISCO
Dental - Additional Office
License number
4974
Date granted
07/26/1991
Date expires
09/30/2014
Class
Dental - Additional Office
Status
Delinquent
Address
28200 HWY 189, STE 02-250 LAKE ARROWHEAD CA 92352
californialicensing.org
ID 10868361
LAST UPDATED 2026-03-21 04:33:50 UTC

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