| Nimisha Nidgundi Dds Inc. | |
|
1117 Tasman Dr Sunnyvale CA 94089-2228 | |
| (408) 234-0162 | |
| Not Available |
| Full Name | Nimisha Nidgundi Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1117 Tasman Dr, Sunnyvale, California |
| Authorized Official Name and Position | Nimisha Nidgundi (DENTIST/OWNER) |
| Authorized Official Contact | 4082340162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nimisha Nidgundi Dds Inc. 3575 Lehigh Dr Apt 24 Santa Clara CA 95051-6075 Ph: (408) 234-0162 | Nimisha Nidgundi Dds Inc. 1117 Tasman Dr Sunnyvale CA 94089-2228 Ph: (408) 234-0162 |
| NPI Number | 1487047296 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487047296 | NPI | - | NPPES |
| 58682 | Other | CA | PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58682 (California) | Primary |
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