Organization
DANIEL E NIEMANN DDS DENTAL CORPORATION
Active
Other names
Huntington Oral Surgery and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E NIEMANN DDS (OWNER / SURGEON)
(626) 441-2331
Entity
Organization
Contact information
Practice address
2050 HUNTINGTON DR STE B, SOUTH PASADENA, CA 91030-4900
(626) 441-2331
(626) 441-2341
Mailing address
2050 HUNTINGTON DR STE B, SOUTH PASADENA, CA 91030-4900
(626) 441-2331
(626) 441-2341
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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