Individual
DR. CARRIE S NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
265 CRESTVIEW DR, SANTA CLARA, CA 95050
(408) 248-3777
Mailing address
265 CRESTVIEW DR, SANTA CLARA, CA 95050
(408) 248-3777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42383
CA
Other
Enumeration date
07/04/2007
Last updated
10/30/2009
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