Organization
NIMA MASHHOON, DMD, MS INC
Active
Other names
Modern Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMA MASHHOON DMD (DENTIST)
(805) 934-4000
Entity
Organization
Contact information
Practice address
2151 S COLLEGE DR STE 103, SANTA MARIA, CA 93455-1304
(805) 934-4000
(805) 803-1999
Mailing address
2151 S COLLEGE DR STE 103, SANTA MARIA, CA 93455-1304
(805) 934-4000
(805) 803-1999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Enumeration date
02/17/2022
Last updated
03/10/2022
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