Individual
NIKKI H KABRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 JOURNEY STE 205, ALISO VIEJO, CA 92656-3373
(949) 643-2222
Mailing address
2 JOURNEY STE 205, ALISO VIEJO, CA 92656-3373
(949) 643-2222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055139
NY
1223P0221X
Pediatric Dentistry
Primary
101936
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2009
Last updated
06/03/2019
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