Individual
EMAUN NIKNAFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5020 W LLOYD EXPY STE 200, EVANSVILLE, IN 47712-6580
(812) 463-8000
(812) 463-8104
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011623A
IN
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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