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Organization
NIMISHA NIDGUNDI DDS INC.
Active
Organization
NIMISHA NIDGUNDI DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMISHA NIDGUNDI (DENTIST/OWNER)
(408) 234-0162
Entity
Organization
Contact information
Practice address
1117 TASMAN DR, SUNNYVALE, CA 94089-2228
(408) 234-0162
Mailing address
3575 LEHIGH DR APT 24, SANTA CLARA, CA 95051-6075
(408) 234-0162
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
03/18/2015
Last updated
03/18/2015
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