Organization
NED L. NIX, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NED NIX DDS (PRESICENT)
(408) 225-5000
Entity
Organization
Contact information
Practice address
704 BLOSSOM HILL RD STE 102, SAN JOSE, CA 95123-5403
(408) 225-5000
Mailing address
704 BLOSSOM HILL RD STE 102, SAN JOSE, CA 95123-5403
(408) 225-5000
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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