| Michael M Nishida Dds Inc | |
|
1295 E Las Tunas Dr San Gabriel CA 91776-1703 | |
| (626) 287-1153 | |
| (626) 287-1456 |
| Full Name | Michael M Nishida Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1295 E Las Tunas Dr, San Gabriel, California |
| Authorized Official Name and Position | Michael Nishida (PRESIDENT) |
| Authorized Official Contact | 5626197999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M Nishida Dds Inc 1295 E Las Tunas Dr San Gabriel CA 91776-1703 Ph: (626) 287-1153 | Michael M Nishida Dds Inc 1295 E Las Tunas Dr San Gabriel CA 91776-1703 Ph: (626) 287-1153 |
| NPI Number | 1396992038 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 11/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396992038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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