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Organization
NIKTASH DENTAL CORPORATION
Active
Organization
NIKTASH DENTAL CORPORATION
Active
Other names
Paradise Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJGAN NIKTASH D.D.S. (DENTIST)
(949) 481-2121
Entity
Organization
Contact information
Practice address
31726 RANCHO VIEJO RD, SUITE 109, SAN JUAN CAPISTRANO, CA 92675-2779
(949) 481-1212
(949) 258-9822
Mailing address
31726 RANCHO VIEJO RD STE B-109, SAN JUAN CAPISTRANO, CA 92675-2779
(949) 481-2121
(949) 218-7556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45598
CA
Other
Enumeration date
05/17/2014
Last updated
01/12/2021
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