| Nina Basti Dds, Inc | |
|
150 Avenida Del Mar Ste C San Clemente CA 92672-4010 | |
| (949) 492-0330 | |
| Not Available |
| Full Name | Nina Basti Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 150 Avenida Del Mar, San Clemente, California |
| Authorized Official Name and Position | Ninousha Basti (DENTIST) |
| Authorized Official Contact | 9494920330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Basti Dds, Inc 150 Avenida Del Mar Ste C San Clemente CA 92672-4010 Ph: (949) 492-0330 | Nina Basti Dds, Inc 150 Avenida Del Mar Ste C San Clemente CA 92672-4010 Ph: (949) 492-0330 |
| NPI Number | 1578985297 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578985297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55294 (California) | Primary |
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