# DAVID NIEMIEC D.D.S. ,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336404995
- **Authorized official:** DR. DAVID NIEMIEC D.D.S. (PRESIDENT)
- **Authorized official phone:** (765) 265-7664

## Contact information

- **Practice address:** 601 DOVER DR, SUITE 12, NEWPORT BEACH, CA 92663-5735
- **Practice address phone:** (765) 265-7664
- **Mailing address:** 601 DOVER DR, SUITE 12, NEWPORT BEACH, CA 92663-5735
- **Mailing address phone:** (765) 265-7664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60358 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 07/10/2012