# NIMA MASHHOON, DMD, MS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Smile Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528713534
- **Authorized official:** DR. NIMA MASHHOON DMD (DENTIST)
- **Authorized official phone:** (805) 934-4000

## Contact information

- **Practice address:** 2151 S COLLEGE DR STE 103, SANTA MARIA, CA 93455-1304
- **Practice address phone:** (805) 934-4000
- **Practice address fax:** (805) 803-1999
- **Mailing address:** 2151 S COLLEGE DR STE 103, SANTA MARIA, CA 93455-1304
- **Mailing address phone:** (805) 934-4000
- **Mailing address fax:** (805) 803-1999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2022
- **Last updated:** 03/10/2022