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Individual
NIMISHA NIDGUNDI
Active
Individual
NIMISHA NIDGUNDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58682
PPO
CA
Enumeration date
10/20/2011
Last updated
02/12/2026
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