Individual
DR. HIMANSHU NIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2321 S MERIDIAN, PUYALLUP, WA 98373-1554
(253) 845-7645
(253) 840-5599
Mailing address
2321 S MERIDIAN, PUYALLUP, WA 98373-1554
(253) 845-7645
(253) 840-5599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9143
WA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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