Individual
NIDHI JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, DMD, MS
Contact information
Practice address
2535 EAST BIDWELL, SUITE 150, FOLSOM, CA 95630
(916) 984-1109
(916) 984-1764
Mailing address
9309 OFFICE PARK CIRCLE, SUITE 120, ELK GROVE, CA 95758
(916) 691-1050
(916) 691-1066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56089
CA
1223P0300X
Periodontics
Primary
56089
CA
Other
Enumeration date
10/24/2007
Last updated
02/08/2012
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