Organization
MICHAEL M NISHIDA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NISHIDA D.D.S. (PRESIDENT)
(562) 619-7999
Entity
Organization
Contact information
Practice address
1295 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1703
(626) 287-1153
(626) 287-1456
Mailing address
1295 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1703
(626) 287-1153
(626) 287-1456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
11/07/2008
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