Organization
NICKY M HAKIMI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKY M HAKIMI DDS, MSD (DENTIST OWNER)
(916) 788-1114
Entity
Organization
Contact information
Practice address
1420 E ROSEVILLE PKWY, SUITE 230, ROSEVILLE, CA 95661-3078
(916) 788-1114
(916) 788-1353
Mailing address
1420 E ROSEVILLE PKWY, SUITE 230, ROSEVILLE, CA 95661-3078
(916) 788-1114
(916) 788-1353
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
39155
CA
Other
Enumeration date
01/24/2007
Last updated
12/16/2008
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