| Nikjoo DDS Inc. | |
|
705 S State College Blvd Anaheim CA 92806-4527 | |
| (714) 603-7375 | |
| Not Available |
| Full Name | Nikjoo DDS Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 705 S State College Blvd, Anaheim, California |
| Authorized Official Name and Position | Ebi D Nikjoo (DENTIST) |
| Authorized Official Contact | 7146037375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikjoo DDS Inc. 705 S State College Blvd Anaheim CA 92806-4527 Ph: (714) 603-7375 | Nikjoo DDS Inc. 705 S State College Blvd Anaheim CA 92806-4527 Ph: (714) 603-7375 |
| NPI Number | 1093423204 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093423204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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