| Nigoghosian & Nigoghosian Dds Inc | |
|
1049 W Foothill Blvd Upland CA 91786-3731 | |
| (909) 985-1966 | |
| (909) 982-1550 |
| Full Name | Nigoghosian & Nigoghosian Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1049 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Johnny Nigoghosian (OWNER) |
| Authorized Official Contact | 9099851966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nigoghosian & Nigoghosian Dds Inc 1049 W Foothill Blvd Upland CA 91786-3731 Ph: (909) 985-1966 | Nigoghosian & Nigoghosian Dds Inc 1049 W Foothill Blvd Upland CA 91786-3731 Ph: (909) 985-1966 |
| NPI Number | 1912452251 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 04/16/2020 |
| Medicare PECOS PAC ID | 0840621124 |
|---|---|
| Medicare Enrollment ID | O20200521000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912452251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Johnny Nigoghosian |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821402538 PECOS PAC ID: 3577994854 Enrollment ID: I20200522001078 |
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