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Organization
NENI SHRIVER,DDS INC
Active
Organization
NENI SHRIVER,DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NENI DIAH SHRIVER DDS (OWNER)
(858) 456-4442
Entity
Organization
Contact information
Practice address
7817 IVANHOE AVE, STE 304, LA JOLLA, CA 92037-4559
(858) 456-4442
(858) 456-4443
Mailing address
7817 IVANHOE AVE, STE 304, LA JOLLA, CA 92037-4559
(858) 456-4442
(858) 456-4443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45194
CA
Other
Enumeration date
02/08/2012
Last updated
02/21/2014
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