Individual
DR. NIPUN MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 521-5150
Mailing address
6920 S CIMARRON RD # 100, LAS VEGAS, NV 89113-2135
(415) 792-9178
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D012458
AZ
Other
Enumeration date
09/18/2019
Last updated
06/11/2025
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