Individual
MITRA NEJAT-BINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5725
(573) 339-1196
Mailing address
381 TRABUCO CANYON WAY, BREA, CA 92821-2639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40171
CA
Other
Enumeration date
07/07/2017
Last updated
07/07/2017
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