| Nina N. Madavi, D.d.s., Professional Dental Corp. | |
|
1919 State St Ste 308 Santa Barbara CA 93101-8447 | |
| (805) 563-2101 | |
| Not Available |
| Full Name | Nina N. Madavi, D.d.s., Professional Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1919 State St Ste 308, Santa Barbara, California |
| Authorized Official Name and Position | Nina N. Madavi (PRINCIPAL) |
| Authorized Official Contact | 8055632101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina N. Madavi, D.d.s., Professional Dental Corp. 1919 State St Ste 308 Santa Barbara CA 93101-8447 Ph: (805) 563-2101 | Nina N. Madavi, D.d.s., Professional Dental Corp. 1919 State St Ste 308 Santa Barbara CA 93101-8447 Ph: (805) 563-2101 |
| NPI Number | 1225177066 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225177066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42066 (California) | Primary |
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