Neni Shriver,dds Inc

NPI 1063784825 - Dentist - 1223G0001X

NPI Details
NPI 1063784825
Enumeration Date 02/08/2012
Last Updated 02/21/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NENI DIAH NENI
Position OWNER
Phone (858) 456-4442
Fax (858) 456-4443
Practice Location
7817 IVANHOE AVE
STE 304
LA JOLLA CA, 92037-4559, US
Phone (858) 456-4442
Fax (858) 456-4443
Business Location
7817 IVANHOE AVE
STE 304
LA JOLLA CA, 92037-4559, US
Phone (858) 456-4442
Fax (858) 456-4443
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 45194
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According to our database, Neni Shriver,dds Inc NPI is 1063784825, taxonomy code is 1223G0001X and license number is 45194, license state is located at California. Neni Shriver,dds Inc physically located at 7817 Ivanhoe Ave, La Jolla CA, 92037-4559. NPI Number 1033115704 has the healthcare provider type.

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1063784825 NPI number is provided on an as is basis without warranty of any kind. 1063784825 is maintained by the National Plan & Provider Enumeration System. The contents of Neni Shriver,dds Inc are for informational purposes only.